Provider Demographics
NPI:1053427666
Name:HUDSON, NORMAN PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:PAUL
Last Name:HUDSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:N.
Other - Middle Name:PAUL
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2479 OAKMONT WAY
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-6460
Mailing Address - Country:US
Mailing Address - Phone:541-484-0195
Mailing Address - Fax:541-343-6317
Practice Address - Street 1:2479 OAKMONT WAY
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6460
Practice Address - Country:US
Practice Address - Phone:541-484-0195
Practice Address - Fax:541-343-6317
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD22246207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR130122Medicaid
A123301OtherPACIFICSOURCE INSURANCE
ORFT7Z650OtherHEALTHNET
ORD31376OtherPROVIDENCE INSURANCE
OR804768000OtherREGENCE BC/BS
OR931252757OtherODS
OR130122Medicaid
OR931252757OtherODS
OR804768000OtherREGENCE BC/BS