Individual
ANDREW W JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
665 WINTER ST SE, BLDG B 2ND FLOOR PATHOLOGY, SALEM, OR 97301-3934
(503) 814-3359
Mailing address
665 WINTER ST SE, BLDG B 2ND FLOOR PATHOLOGY, SALEM, OR 97301-3934
(503) 814-3359
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD197303
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/14/2014
Last updated
07/07/2020
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