KIMBERLY ANN DUDLEY


Address: 11630 Se 40th Ave, Milwaukie, OR 97222-6195
Phone: 9713508439

KIMBERLY ANN DUDLEY (NPI# 1396383220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396383220
Entity Type Individual
Full Name KIMBERLY ANN DUDLEY
Practice Address 11630 Se 40th Ave
Milwaukie
OR 97222-6195
Practice Telephone 9713508439
Mailing Telephone 9713508439
Enumeration Date 2019-12-10
Last Update Date 2019-12-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
60996935 WA Behavioral Health & Social Service Providers

Other Providers KIMBERLY DUDLEY

NPI Name Taxonomy Address Enumeration
1780954610 Kimberly Dudley Counselor 945 Grand St, Starke, FL 32091-1821 2012-01-10

Office Location

Street Address 11630 SE 40TH AVE
City MILWAUKIE
State OR
Zip Code 97222-6195

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700865490 Jacqueline Lee Geddes Psychologist 11630 Se 40th Ave, Suite A, Milwaukie, OR 97222-6195 2006-01-11
1700497377 Jeffrey Rolland Meuser Counselor 11630 Se 40th Ave, Milwaukie, OR 97222-6195 2020-08-16
1538784269 Ethan G Morrow Counselor 11630 Se 40th Ave, Milwaukie, OR 97222-6195 2020-06-09
1285081133 Patrick Merle Sellin Counselor 11630 Se 40th Ave, Milwaukie, OR 97222-6195 2016-05-20
1043683105 Wister Park Counseling, LLC Public Health or Welfare 11630 Se 40th Ave, Ste. A, Milwaukie, OR 97222-6195 2015-11-10
1558782748 Dara Cantor Acupuncturist 11630 Se 40th Ave, Suite C, Milwaukie, OR 97222-6195 2013-12-15
1447693684 Sheryl Lynn Ivey Nurse Practitioner 11630 Se 40th Ave, Suite A #7, Milwaukie, OR 97222-6195 2013-04-08
1013289529 Flow Natural Health Care Clinic/Center 11630 Se 40th Ave, Suite C, Milwaukie, OR 97222-6195 2012-01-30
1457649204 Jennifer L Blake Counselor 11630 Se 40th Ave, Suite A, Milwaukie, OR 97222-6195 2011-07-14
1629372537 Richard K Lok Naturopath 11630 Se 40th Ave, Suite C, Milwaukie, OR 97222-6195 2011-01-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831731397 Madalyn Kelly Yowell Technician 7809 Southeast Southgate Street, Milwaukee, OR 97222 2019-10-16
1336617448 Nadia Yang Social Worker 2115 Se Adams St, Milwaukie, OR 97222 2018-11-06
1851892368 Arrow Dental LLC Dentist 10505 Se 17th Avenue, Milwaukie, OR 97222 2018-02-21
1851814016 Cathy Maria Andrew Acupuncturist 11022 Se Stanley Ave, Milwaukie, OR 97222 2017-07-19
1972025369 Sarah Elizabeth Giles Peer Specialist 11097 Se 21st Ave., Milwaukie, OR 97222 2017-07-07
1366976292 Brittany Reubendale Physical Therapist 12705 See River Rd, Portland, OR 97222 2017-04-18
1669916383 Margie Hertz Registered Nurse 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 2016-12-14
1952858094 Alexis Escobar Speech-Language Pathologist 4560 Se International Way, Ste 100, Milwaukie, OR 97222 2016-09-07
1205295466 Beth Ann Mills Acupuncturist 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 2016-02-16
1558744086 Kyle Eugene Coan Specialist 3306 Se Wister St, Milwaukie, OR 97222 2015-07-01
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720566821 Nicole Lind Stiver Counselor 10500 Se 26th Ave Apt D16, Milwaukie, OR 97222-9615 2018-07-31
1699263020 Randall S Seltmann Counselor 13850 Se Autumn Ridge Ter # 4, Milwaukie, OR 97267-2150 2018-05-01
1265941140 Ashawlaway Counseling, LLC Counselor 10883 Se Main St Ste 204, Milwaukie, OR 97222-7641 2017-09-23
1821440173 Angela Gilchrist Counselor 2535 Se Harrison St Ste 202, Milwaukie, OR 97222-7530 2016-07-11
1821474081 Barbara Majors Counselor 2115 Se Adams St Ste B, Milwaukie, OR 97222-7773 2015-08-10
1912303355 Mikaela Shrumm Counselor 4545 Se Ina Ave Apt 9, Milwaukie, OR 97267-5918 2014-11-12
1982957049 Lisa Ann Langstraat Counselor 11630 Se 40th Ave Ste A, Milwaukie, OR 97222-6195 2012-10-25
1346543303 Raymond Jones Counselor 11458 Se Mceachron Ave, Milwaukie, OR 97222-1264 2010-12-14
1780912592 Linnea Stenhouse Counselor 4105 Se International Way, Suite 501, Milwaukie, OR 97222-8855 2009-12-07
1003007915 Shannon Marie Beard Counselor 13455 Se Oatfield Rd Apt 28, Milwaukie, OR 97222-7058 2007-08-06
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Competitor

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City MILWAUKIE
Zip Code 97222

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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