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Contact Information

CUYLA C DUDLEY, PA-C, ATC
111 NW LARCH AVE
REDMOND, OR97756-1322
 Phone: 541-923-4462
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Athletic Trainer

2255A2300X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CUYLA C DUDLEY · (Female)

NPI Number 1467426056
Credentials PA-C, ATC
Entity Individual
Enumeration date 02/13/2006
Last updated 08/24/2015 - About 11 months ago
Sole proprietor 1 No
Identifiers
OR License # PA153046
OR Medicaid 500643488
OR Medicare PIN R169160
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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