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

Mary N Kudoja, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1770945263

Mary N Kudoja, FNP-BC is a Nurse Practitioner in Clackamas, Oregon. Qualified in 2015, 11 years ago. Practices with Plumas District Hospital, a 40-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon and Wisconsin.

Years since qualifying
11
Licensed in
OR, WI
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

10151 SE Sunnyside Rd Ste 100
Clackamas, OR 97015-5705
Phone: (503) 659-0880
Fax: (503) 659-0880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2502 S Ashland Ave, Green Bay, WI 54304-5252 — (920) 496-4700
  • 9576 Hwy 70, Minocqua, WI 54548-9067 — (715) 358-1767

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10001428 (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence 6843-33 (WI)

Record details

NPI number1770945263
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedMarch 23, 2016
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Plumas District Hospital — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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