Janine L Dudley, OTR CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

357475 Issued in OR

Practice address

19365 SW 65TH Ave
#200
Tualatin, OR 97062-9196

Phone

(503) 692-5210

Fax

(503) 692-8821

NPI assigned

Jul 26, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1598765117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25220 S NEWKIRCHNER RD",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970457538",
            "telephone_number": "503-632-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19365 SW 65TH AVE",
            "address_2": "#200",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629196",
            "telephone_number": "503-692-5210",
            "fax_number": "503-692-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "JANINE",
        "middle_name": "L",
        "credential": "OTR CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "357475",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OR",
            "license": "357475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Paul Douglass, MD
• Jeffrey Matthew Douglass, MD
• Jake Select Douma
• Katelynn N Dozal
• Katherine Dravis
• Anna M Dulwick
• Jeffrey David Duman, MD
• Desiree Danielle Dunbar, PSY.D.
• Maya Duncan
• Cheryl Ann Duvall, RN, LMT

• Hand Occupational Therapist in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Hand Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.