Judd, Lilith Marion

Judd, Lilith Marion is an individual health care provider with primary practice located at 9135 Sw Barnes Rd Suite 461, Portland OR 97225-6646. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurocritical Care. Allopathic & Osteopathic Physicians / Neurocritical Care is her primary health care specialty. Judd, Lilith Marion can be contacted via phone (503) 216-1150.

Contact Information

Primary practice address
9135 Sw Barnes Rd Suite 461 Portland OR 97225-6646
Phone: (503) 216-1150
Fax: (971) 282-0086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD60530023 Washington
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A139315 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD166854 Oregon
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 115185 Alaska
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 40723 Montana
Allopathic & Osteopathic Physicians / Neurocritical Care 2084A2900X MD166854 Oregon

Profile Details

NPI number 1508032327
LBN Legal business name Judd, Lilith Marion
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2008
Last updated Nov 25th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508032327 NPPES
Oregon MEDICAID 500671980
Oregon Other P01755105

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