Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174140511 Individual Practitioner Female Practitioner

Lacey M Hudson

Dental Assistant • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Lacey Hudson is a registered healthcare professional specializing in Dental Assistant in Gresham, OR. Practice services are available at 600 NE 8TH ST STE 300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 Ne 8th St Ste 300

Gresham, OR 970307318

Telephone 5039074233

Specialty Benchmarks & Practice Insights

Comparative analytics for Dental Assistant in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Gresham, OR (298 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-01
Dental Assistant Primary Specialty

NUCC Taxonomy Code: 126800000X

State License OR 123433

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Luz Brousseau , LPN

Licensed Practical Nurse

NPI 1053615773

Licensed Practical Nurse

Renae Rykaczewski , FNP-C

Nurse Practitioner - Family

NPI 1053895110

Family Nurse Practitioner (Certified)

Nimritjot Hothi , PA-C

Clinic/Center - Primary Care

NPI 1104667039

Physician Assistant (Certified)

Jacqueline Brown

Physician Assistant

NPI 1255052494
Tyler Chipman , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1366812372

Psychiatric-Mental Health Nurse Practitioner

NPI 1386204766

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2020

Registered at 600 NE 8TH ST STE 300, GRESHAM, OR 970307318 (Tel: 5039074233)

📍
Updated Business Mailing Address July 01, 2020

Registered at 1450 SW 31ST ST, GRESHAM, OR 970809610 (Tel: 5039074233)

👤
Provider Name / Credentials Updated July 01, 2020

Recorded as LACEY HUDSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2020

Dental Assistant (License #123433 in OR)

🟢
Initial NPI Registration & Enumeration July 01, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174140511
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2020
Last Update: July 01, 2020
Sole Proprietor: No

Mailing Address

1450 Sw 31st St

Gresham, OR 970809610

Phone: 5039074233

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.