Individual
MR. ALLAN JAY HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
404 NW 5TH ST, REDMOND, OR 97756-1627
(541) 923-2221
(541) 923-3776
Mailing address
340 NW BEAVER ST, PRINEVILLE, OR 97754-1836
(541) 416-2020
(541) 447-2608
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1541AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236083
—
OR
Enumeration date
05/19/2006
Last updated
05/20/2019
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