Teresa Marie Fudge, RN - Registered Nurse in Portland, OR

Teresa Marie Fudge, RN is a Registered Nurse - Psychiatric/mental Health based in Portland, Oregon. Teresa Marie Fudge is licensed to practice in Oregon (license number ) and her current practice location is 412 Sw 12th Ave, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 228-7134.

NPI number for Teresa Marie Fudge is 1144366683 and her current mailing address is 1318 Nw 20th Ave, Suite B, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144366683.

Contact Information

Teresa Marie Fudge, RN
412 Sw 12th Ave,
Portland, OR 97205-2329
(503) 228-7134
Not Available

Map and Direction




Provider's Profile

Full NameTeresa Marie Fudge
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location412 Sw 12th Ave, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144366683
  • Provider Enumeration Date: 01/30/2007
  • Last Update Date: 01/18/2008

Medical Identifiers

Medical identifiers for Teresa Marie Fudge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144366683NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WA0400XRegistered Nurse - Addiction (substance Use Disorder) (Oregon)Secondary
163WC1500XRegistered Nurse - Community Health (Oregon)Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health (Oregon)Primary
101YM0800XCounselor - Mental Health (Oregon)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teresa Marie Fudge is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Teresa Marie Fudge, RN
1318 Nw 20th Ave, Suite B,
Portland, OR 97209-1671

Ph: (503) 758-5450
Teresa Marie Fudge, RN
412 Sw 12th Ave,
Portland, OR 97205-2329

Ph: (503) 228-7134

Reviews and Comments


Registered Nurse Nurses in Portland, OR

Nanis Gilmore, RN, CDE
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John Saklofsky,
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Mrs. Samantha Lancaster, RN-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 10123 Se Market St, Portland, OR 97216
Phone: 503-257-2500    

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