Individual
THOMAS DUDREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 SW 13TH AVE, PORTLAND, OR 97205-1999
(503) 221-0161
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1999
(503) 221-0161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD192279
OR
Other
Enumeration date
04/04/2016
Last updated
11/06/2020
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