Hudson, Michael R.
Hudson, Michael R. is an individual health care provider with primary practice located at 2600 Ne Neff Rd , Bend OR 97701-6337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hudson, Michael R. can be contacted via phone (541) 706-3700.Contact Information
Primary practice address
2600 Ne Neff Rd
Bend OR 97701-6337
Phone: (541) 706-3700
Fax: (541) 706-3730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD14437 | Oregon |
Profile Details
| NPI number | 1013114917 |
|---|---|
| LBN Legal business name | Hudson, Michael R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2007 |
| Last updated | Apr 12th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013114917 | NPPES |
| Oregon | Other | 11131087 | CAQH ID |
| Oregon | MEDICAID | 138057 | CAQH ID |
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