Individual
MICHAEL R. HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 NE NEFF RD, BEND, OR 97701-6337
(541) 706-3700
(541) 706-3730
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 706-3700
(541) 706-3730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD14437
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11131087
CAQH ID
OR
05
—
138057
—
OR
Enumeration date
07/03/2007
Last updated
04/12/2013
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