Wendy Brackeen in Hillsboro - Sports Physician
Wendy Brackeen - NPI 1265475172
Wendy Brackeen is a Sports Physician in Hillsboro, Oregon. Wendy Brackeen practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Wendy Brackeen is 1265475172. The last update date is 2022-03-16.
Wendy Brackeen's current location address is 230 Ne 2nd Ave Ste 1, Hillsboro, Oregon. You can contact this provider via phone number 5036402800. The mailing address for Wendy Brackeen is 230 Ne 2nd Ave Ste 1, Hillsboro, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy Brackeen |
|---|---|
| Address | 230 Ne 2nd Ave Ste 1, Hillsboro, Oregon |
| Phone Number | 5036402800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DC. |
NPI Number Detail
| NPI Number | 1265475172 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2022-03-16 |
Provider Mailing Address Detail
| Address | 230 Ne 2nd Ave Ste 1 |
|---|---|
| City | Hillsboro |
| State | Oregon (OR) |
| Post Code | 971243074 |
| Phone Number | 5036402800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 5151 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique 10-digit identifier code assigned to Wendy Brackeen by the Centers for Medicare & Medicaid Services?
The Wendy Brackeen has been issued the NPI (National Provider Identifier) 1265475172 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Wendy Brackeen is geographically located?
The Wendy Brackeen is physically situated at the following location: 230 Ne 2Nd Ave Ste 1, Hillsboro, OR, 971243074.
What is Wendy Brackeen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wendy Brackeen is Sports Physician, and the taxonomy code that classifies this field of practice is 111Ns0005X.
On what date did the Wendy Brackeen receive the assignment of its 1265475172 from the Centers for Medicare & Medicaid Services?
The Wendy Brackeen was issued its 1265475172 by the Centers for Medicare & Medicaid Services on 2006-06-14.
As of what date was the information pertaining to Wendy Brackeen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Wendy Brackeen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-03-16.