Kenneth I Marshack in Fairview - General Practice
Kenneth I Marshack - NPI 1568562528
Kenneth I Marshack is a General Practice in Fairview, Oregon. Kenneth I Marshack practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth I Marshack is 1568562528. The last update date is 2022-07-21.
Kenneth I Marshack's current location address is 20322 Ne Interlachen Ln, Fairview, Oregon. You can contact this provider via phone number 5036616114 and fax number 5036616114. The mailing address for Kenneth I Marshack is 20322 Ne Interlachen Ln, Fairview, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth I Marshack |
|---|---|
| Address | 20322 Ne Interlachen Ln, Fairview, Oregon |
| Phone Number | 5036616114 |
| Fax Number | 5036616114 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1568562528 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 20322 Ne Interlachen Ln |
|---|---|
| City | Fairview |
| State | Oregon (OR) |
| Post Code | 970248727 |
| Phone Number | 5036616114 |
| Fax Number | 5036616114 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5268 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code issued to Kenneth I Marshack by the Centers for Medicare & Medicaid Services?
The Kenneth I Marshack has been assigned the NPI (National Provider Identifier) 1568562528 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kenneth I Marshack's facilities are geographically located?
The facilities of Kenneth I Marshack are physically situated at the following location: 20322 Ne Interlachen Ln, Fairview, OR, 970248727.
What is the Kenneth I Marshack's specialty and taxonomy code?
The Kenneth I Marshack's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568562528 to Kenneth I Marshack?
The Kenneth I Marshack received its 1568562528 assignment from the Centers for Medicare & Medicaid Services on 2006-09-22.
When was the information regarding Kenneth I Marshack most recently updated?
The details pertaining to the Kenneth I Marshack, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.