Physician Assistant
JOHN DUDLEY PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1710238126 · enumerated 2012-09-25 · record updated 2014-02-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 301C US ROUTE 1, SCARBOROUGH, ME, 04074-9701 (207) 396-8600 Fax (207) 396-8632 Google Maps Apple Maps OpenStreetMap
- Practice location 1250 FOREST AVE, SUITE 301, PORTLAND, ME, 04103-1889 (207) 797-5753 Fax (207) 797-9571 Google Maps Apple Maps OpenStreetMap
Specialties
- Student in an Organized Health Care Education/Training Program 390200000X · License 5164 AZ
- Physician Assistant 363A00000X · Primary · License 5164 AZ
In this directory
Locations and evidence
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Practice location
PORTLAND, ME, 041031889
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.