Susan Marie Yazvac in Portland - Radiology
Susan Marie Yazvac - NPI 1679529200
Susan Marie Yazvac is a Radiology in Portland, Oregon. Susan Marie Yazvac practices all healthcare services and medical treatments related to Radiology. The NPI Number for Susan Marie Yazvac is 1679529200. The last update date is 2007-07-09.
Susan Marie Yazvac's current location address is 4010 Se 42nd Ave, Portland, Oregon. You can contact this provider via phone number 5037718105 and fax number 5037775683. The mailing address for Susan Marie Yazvac is 4010 Se 42nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Marie Yazvac |
|---|---|
| Address | 4010 Se 42nd Ave, Portland, Oregon |
| Phone Number | 5037718105 |
| Fax Number | 5037775683 |
| Sole Proprietor | X |
| Credentials | DC, DACBR |
NPI Number Detail
| NPI Number | 1679529200 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4010 Se 42nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972063211 |
| Phone Number | 5037718105 |
| Fax Number | 5037775683 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology |
|---|---|
| Taxonomy | 111Nr0200X |
| Licence No | 2014 |
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Post Comment/ Review Below
What is the unique identifier code issued to Susan Marie Yazvac by the Centers for Medicare & Medicaid Services?
The Susan Marie Yazvac has been assigned the NPI (National Provider Identifier) 1679529200. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Susan Marie Yazvac?
The Susan Marie Yazvac is situated at 4010 Se 42Nd Ave, in the city of Portland, state of OR, with the zip code 972063211.
What is the Susan Marie Yazvac's specialty and taxonomy code?
The Susan Marie Yazvac's specialty is Radiology, and the corresponding taxonomy code is 111Nr0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679529200 to Susan Marie Yazvac?
The Centers for Medicare & Medicaid Services originally issued the 1679529200 to Susan Marie Yazvac on 2006-05-25.
When was the information related to Susan Marie Yazvac most recently updated or refreshed?
The details pertaining to the Susan Marie Yazvac, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.