James R. Dudder, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

15492 Issued in OR

Practice address

4445 SW Barbur Blvd
Ste 104
Portland, OR 97239-4047

Phone

(503) 226-4500

NPI assigned

Oct 29, 2008

Last updated

Apr 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Live Well Health, PC

  dba Nelson Chiropractic & Functional Neurology

  • Neurology Chiropractor
  • Tigard, OR
  • NPI 1598907842
  NPD (past)
• Richard H. Crokin, DC PC

  dba American Integrated Chiropractic

  • Chiropractor
  • Portland, OR
  • NPI 1497984884
  NPD (past)

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1790938199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 NE 64TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134412",
            "telephone_number": "503-819-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 SW BARBUR BLVD",
            "address_2": "STE 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394047",
            "telephone_number": "503-226-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDDER",
        "first_name": "JAMES",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "15492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Whitney Duchesne, MD
• Taylor Evan Duchesneau
• Jane Leslie Duck, R.N.
• Garrick Linden Duckler, MFT
• Elisabeth Duckwell, LPC
• Linda Nikol Dudinsky, LMT
• Ashley Marion Dudley, LMT
• Jessica A Dudley, FNP
• Leslie Dudley, B.A.
• Patience Dudley

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.