Individual
ROBERT HUDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST, STE BG05, PORTLAND, OR 97213-2933
(503) 215-2392
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD179498
OR
208M00000X
Hospitalist Physician
Primary
MD179498
OR
390200000X
Student in an Organized Health Care Education/Training Program
PG168742
OR
Other
Enumeration date
06/03/2014
Last updated
05/01/2017
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