Healthcare Provider Details

I. General information

NPI: 1851644892
Provider Name (Legal Business Name): GEORGE RICHARD HUDSON ND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2012
Last Update Date: 06/09/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6620 COYLE AVE STE 400
CARMICHAEL CA
95608-6333
US

IV. Provider business mailing address

6620 COYLE AVE STE 400
CARMICHAEL CA
95608-6333
US

V. Phone/Fax

Practice location:
  • Phone: 206-419-5820
  • Fax:
Mailing address:
  • Phone: 916-850-2659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 60205940
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60330642
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-668
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC 60189023
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: