Individual
MELISSA DAWN HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
94220 4TH ST, GOLD BEACH, OR 97444-7756
(541) 247-3000
(541) 247-3104
Mailing address
94220 4TH ST, GOLD BEACH, OR 97444-7756
(541) 247-3000
(541) 247-3104
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
201704461CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
56338
ID
367500000X
Certified Registered Nurse Anesthetist
AP60067579
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119263
CURRY HEALTH DISTRICT MEDICAID
OR
01
—
1487696985
CURRY HEALTH DISTRICT NPI
OR
05
—
500688299
—
OR
Enumeration date
01/05/2009
Last updated
03/17/2018
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