Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Timothy Antonio Dudley

Individual provider Community Health Worker · NPI 1790424547

Timothy Antonio Dudley is a Community Health Worker in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

805 SE 151st Ave
Portland, OR 97233-2916
Phone: (971) 271-7270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1790424547
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 31, 2022
Last updated in NPPESOctober 12, 2026
Certification dateOctober 12, 2026

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