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TERESA MARIE FUDGE RN
NPI 1144366683
Registered Nurse - Psychiatric/Mental Health in Portland, OR

Active since January 30, 2007
412 SW 12TH AVE, PORTLAND, OR 97205(503) 228-7134 Get Directions Write a Review

NPPES record last updated: January 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teresa Marie Fudge Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERESA MARIE FUDGE RN (NPI 1144366683) is an individual psychiatric/mental health provider in Portland, Oregon and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1144366683
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameTERESA MARIE FUDGECredential: RN
Location Address412 SW 12TH AVEPortland, OR 97205-2329
Mailing Address1318 Nw 20th Ave, Suite BPortland, OR 97209-1671 · (503) 758-5450
Phone(503) 228-7134
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJanuary 18, 2008
✔ NPI 1144366683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X
412 SW 12TH AVE, Portland, OR 97205
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GREGORY S BELL QMHA
Case Manager/Care Coordinator
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
MR. JAMIE H GLEASON
Counselor (Mental Health)
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
MS. ELIZABETH SCHEELER KIMBERLY
Social Worker (Clinical)
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
MR. RODERICK J ROBINSON QMHA
Social Worker (Clinical)
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
JAMES M. WRIGHT QMHA
Case Manager/Care Coordinator
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 516-2048
DONALD BENJAMIN KUNZER BA
Adult Companion
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
ANNALISA COUTURIER
Counselor (Addiction (Substance Use Disorder))
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
MS. FRANNY RACHEL THOMPSON QMHP, MSW
Social Worker (Clinical)
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 552-0769

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa Fudge's NPI number?

The NPI number for Teresa Fudge is 1144366683. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Teresa Fudge located?

Teresa Fudge practices at 412 SW 12th Ave, Portland, OR 97205. The listed phone number is (503) 228-7134.

What is Teresa Fudge's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Teresa Fudge was last updated on January 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.