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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
60996935 | WA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780954610 | Kimberly Dudley | Counselor | 945 Grand St, Starke, FL 32091-1821 | 2012-01-10 |
Street Address |
11630 SE 40TH AVE |
City | MILWAUKIE |
State | OR |
Zip Code | 97222-6195 |
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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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 |
Find all providers in zip 97222 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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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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.