Jacolyn Hudson, | |
2213 Country Club Rd, Woodburn, OR 97071-2811 | |
(503) 982-4200 | |
(503) 981-2323 |
Full Name | Jacolyn Hudson |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 9 Years |
Location | 2213 Country Club Rd, Woodburn, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639540149 | NPI | - | NPPES |
500647838 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 348446 (Oregon) | Secondary |
225XH1200X | Occupational Therapist - Hand | 348446 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Group Health Cooperative Of South Central Wisconsin | 3870489586 | 140 |
Provider Name | Group Health Cooperative Of South Central Wisconsin |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306 |
Mailing Address | Practice Location Address |
---|---|
Jacolyn Hudson, Po Box 1114, Canby, OR 97013-1114 Ph: () - | Jacolyn Hudson, 2213 Country Club Rd, Woodburn, OR 97071-2811 Ph: (503) 982-4200 |
Sanders Hand & Pediatric Therapy Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2217 Country Club Rd, Woodburn, OR 97071 Phone: 503-982-4200 Fax: 503-981-2323 | |
Hayley Jean Hoggarth, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2213 Country Club Rd, Woodburn, OR 97071 Phone: 503-982-4200 Fax: 503-981-2323 | |
Rashawn Jamelle Richards, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2217 Country Club Rd, Woodburn, OR 97071 Phone: 503-982-4200 Fax: 503-981-2323 | |
Josette Hannah Mallari Gianan, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2217 Country Club Rd, Woodburn, OR 97071 Phone: 503-318-3927 Fax: 503-981-2323 | |
Mr. Benjamin Alan Zentner, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 601 Evergreen Rd, Woodburn, OR 97071 Phone: 503-982-0111 | |
Corey Joe Mcchesney, OTR/L, OTD Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2217 Country Club Rd, Woodburn, OR 97071 Phone: 503-982-4200 Fax: 503-981-2323 |