Individual
JAIRED HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2200 NE NEFF RD STE 302, BEND, OR 97701-4279
(541) 706-4220
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 382-4321
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
105985
HI
163WC0200X
Critical Care Medicine Registered Nurse
201906971RN
OR
163WC0200X
Critical Care Medicine Registered Nurse
70686
ID
163WC0200X
Critical Care Medicine Registered Nurse
95352640
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
10044323
OR
363LA2100X
Acute Care Nurse Practitioner
AP61679484
WA
Other
Enumeration date
09/19/2023
Last updated
09/02/2025
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