Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacolyn Hudson

Individual provider Occupational Therapist · NPI 1639540149

Jacolyn Hudson is an Occupational Therapist in Private Practice in Woodburn, Oregon. Qualified in 2015, 11 years ago. Practices with Group Health Cooperative of South Central Wisconsin, a 234-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

2213 Country Club Rd
Woodburn, OR 97071-2811
Phone: (503) 982-4200
Fax: (503) 981-2323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8995 Sw Miley Rd Ste 109, Wilsonville, OR 97070-5485 — (503) 694-8366

Specialties & licences

Hand Occupational Therapist (primary) Taxonomy 225XH1200X · Licence 348446 (OR)
Occupational Therapist Taxonomy 225X00000X · Licence 348446 (OR)

Record details

NPI number1639540149
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2015
Last updated in NPPESMarch 2, 2019
Mailing addressPo Box 1114, Canby, OR 97013-1114

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Group Health Cooperative Of South Central Wisconsin — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Woodburn