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

Terra Elise D'Antonio Dudley, WHCNP

Individual provider Women's Health Nurse Practitioner · NPI 1467144568

Terra Elise D'Antonio Dudley, WHCNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2022, 4 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2023
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Practice location Address checks out

9135 SW Barnes Rd Ste 761
Portland, OR 97225-6777
Phone: (503) 216-2602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 10008920 (OR)

Record details

NPI number1467144568
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHCNP
Sole proprietorNo
NPI enumeratedMay 25, 2023
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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