TERESA FUDGE, RN
Registered Nurse - Psychiatric/Mental Health
Active
Individual
NPI: 1144366683
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse - Addiction (Substance Use Disorder) | 163WA0400X | No | - |
| Registered Nurse - Community Health | 163WC1500X | No | - |
| Registered Nurse - Psychiatric/Mental Health | 163WP0808X | Yes | - |
| Counselor - Mental Health | 101YM0800X | No | - |
Frequently Asked Questions
NPI 1144366683 is the National Provider Identifier for TERESA FUDGE, RN, a Registered Nurse - Psychiatric/Mental Health provider located in Portland, OR. This NPI was enumerated on January 30, 2007.
TERESA FUDGE, RN practices at 412 SW 12TH AVE, Portland, OR 97205.
Quick Facts
- NPI
- 1144366683
- Type
- Individual
- Enumerated
- Jan 30, 2007
- Last Updated
- Jan 18, 2008
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DR. NATE QUILICI, M.D.
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KATHLEEN PETERS
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