Jeffrey Duane Hudson, PAC. ATC
Physician Assistant in Vancouver, WA. Individual provider (NPI-1).
NPI number1154432995
StatusActive
Last updated in NPPESNov 21, 2025
Details
- NPI
- 1154432995
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeffrey Duane Hudson
- Credential
- PAC. ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Certification date
- Nov 21, 2025
- Last updated
- Nov 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 116772 | MT | Yes |
Practice location
200 Ne Mother Joseph Pl Ste 110Vancouver, WA 98664-3293
Phone 360-254-6161 · Fax 360-803-0847
Mailing address
200 Ne Mother Joseph Pl Ste 210Vancouver, WA 98664-3295
Phone 360-254-6161 · Fax 360-803-0847
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