Randy Lee Hewitt in Portland - Sports Physician
Randy Lee Hewitt - NPI 1093804148
Randy Lee Hewitt is a Sports Physician in Portland, Oregon. Randy Lee Hewitt practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Randy Lee Hewitt is 1093804148. The last update date is 2007-07-08.
Randy Lee Hewitt's current location address is 2031 E Burnside St, Portland, Oregon. You can contact this provider via phone number 5032242100 and fax number 5032242129. The mailing address for Randy Lee Hewitt is 2031 E Burnside St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy Lee Hewitt |
|---|---|
| Address | 2031 E Burnside St, Portland, Oregon |
| Phone Number | 5032242100 |
| Fax Number | 5032242129 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1093804148 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2031 E Burnside St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972141649 |
| Phone Number | 5032242100 |
| Fax Number | 5032242129 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 272343 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Randy Lee Hewitt?
The Randy Lee Hewitt has been issued the NPI (National Provider Identifier) 1093804148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Randy Lee Hewitt?
The Randy Lee Hewitt is situated at 2031 E Burnside St, in the city of Portland, state of OR, with the zip code 972141649.
What is Randy Lee Hewitt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Randy Lee Hewitt is Sports Physician, and the taxonomy classification code that categorizes this area of expertise is 111Ns0005X.
When did the Randy Lee Hewitt receive its 1093804148?
The Randy Lee Hewitt was issued its 1093804148 on 2006-10-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Randy Lee Hewitt most recently updated or revised?
The information pertaining to Randy Lee Hewitt, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.