TERESA MARIE FUDGE

PORTLAND, OR
NPI1144366683
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: OR  098000638RN)
Additional Taxonomies163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: OR  098000638RN)
163WC1500X Registered Nurse, Community Health
(Licence: OR  098000638RN)
101YM0800X Counselor, Mental Health
(Licence: OR  098000638RN)
Enumeration Date2007-01-30
Last Update Date2008-01-18
Business Address
-- TERESA MARIE FUDGE RN
412 SW 12TH AVE
PORTLAND, OR 97205-2329
Phone number: 503-228-7134
Mailing Address
-- TERESA MARIE FUDGE RN
1318 NW 20TH AVE SUITE B
PORTLAND, OR 97209-1671
Phone number: 503-758-5450