Individual
MANDILIN GORDON HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3509 NW SAMARITAN DR, CORVALLIS, OR 97330-3893
(541) 768-5235
Mailing address
3509 NW SAMARITAN DR, CORVALLIS, OR 97330-3893
(541) 768-5235
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO154713
OR
Other
Enumeration date
07/09/2009
Last updated
05/16/2012
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