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NPI Profile for NICOLE M JUDD in PORTLAND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Other Service Providers |
175T00000X |
| NPI # | 1598190290 |
|
| Status | Active | |
| Credentials | MA, MA, PSS | |
| Entity | Individual | |
| Enumeration date | 09/12/2013 | |
| Last updated | 07/17/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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NICOLE M JUDD, MA, MA, PSS