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Mary N Kudoja, FNP-BC
Nurse Practitioner in Clackamas, Oregon
NPI 1770945263

Mary N Kudoja is a Nurse Practitioner based in Green Bay, OR. Mary N Kudoja practices in Clackamas, OR and has the professional credentials of FNP-BC. The NPI Number for Mary N Kudoja is 1770945263 and holds a License No. 10001428 (Oregon).

The current practice location address for Mary N Kudoja is 10151 Se Sunnyside Rd Ste 100, Clackamas, OR and can be reached out via phone at 503-659-0880 and via fax at 503-659-0880.

Location: 10151 Se Sunnyside Rd Ste 100, Clackamas, OR, 54304-5252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770945263
Provider Name
Mary N Kudoja
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
10151 Se Sunnyside Rd Ste 100, Clackamas, OR, 54304-5252
Phone Number
503-659-0880
Fax Number
503-659-0880
Provider Enumeration Date
03/23/2016
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100054720 05 WI
institution
Provider Business Practice Location Address Details
Address
10151 Se Sunnyside Rd Ste 100
City
Clackamas
State
Oregon
Zip
97015-5705
Phone Number
503-659-0880
Fax Number
503-659-0880
person
Provider Business Mailing Address Details
Address
10151 Se Sunnyside Rd Ste 100
City
Clackamas
State
Oregon
Zip
97015-5705
Phone Number
503-659-0880
Fax Number
503-659-0880
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
6843-33 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
10001428 (Oregon)
Definition
Definition to come...
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