person
Teresa Marie Fudge, RN
Mental Health Counselor in Portland, Oregon
NPI 1144366683

Teresa Marie Fudge is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Teresa Marie Fudge practices in Portland, OR and has the professional credentials of RN. The NPI Number for Teresa Marie Fudge is 1144366683 and holds a License No. (Oregon).

The current practice location address for Teresa Marie Fudge is 412 Sw 12Th Ave, Portland, OR and can be reached out via phone at 503-228-7134. You can also correspond with Teresa Marie Fudge through the mailing address at 1318 NW 20TH AVE, PORTLAND, OR - 97209-1671 (mailing address contact number: 503-758-5450).

Location: 412 Sw 12Th Ave, Portland, OR, 97209-1671
person
Provider Profile Details
NPI Number
1144366683
Provider Name
Teresa Marie Fudge
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
412 Sw 12Th Ave, Portland, OR, 97209-1671
Phone Number
503-228-7134
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
412 Sw 12Th Ave
City
State
Zip
97205-2329
Phone Number
503-228-7134
Fax Number
person
Provider Business Mailing Address Details
Address
1318 Nw 20Th Ave
City
State
Zip
97209-1671
Phone Number
503-758-5450
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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