Kevin Reed Packham in Milwaukie - General Practice
Kevin Reed Packham - NPI 1285629766
Kevin Reed Packham is a General Practice in Milwaukie, Oregon. Kevin Reed Packham practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin Reed Packham is 1285629766. The last update date is 2007-07-08.
Kevin Reed Packham's current location address is 2403 Se Monroe St, Milwaukie, Oregon. You can contact this provider via phone number 5036545995 and fax number 5036530465. The mailing address for Kevin Reed Packham is 2403 Se Monroe St, Milwaukie, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Reed Packham |
|---|---|
| Address | 2403 Se Monroe St, Milwaukie, Oregon |
| Phone Number | 5036545995 |
| Fax Number | 5036530465 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1285629766 |
|---|---|
| Provider Enumeration Date | 2005-09-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2403 Se Monroe St |
|---|---|
| City | Milwaukie |
| State | Oregon (OR) |
| Post Code | 972227646 |
| Phone Number | 5036545995 |
| Fax Number | 5036530465 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D7196 |
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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 Kevin Reed Packham's unique identification number?
The Kevin Reed Packham has been assigned the NPI (National Provider Identifier) Number 1285629766 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Kevin Reed Packham is geographically located?
The Kevin Reed Packham is physically situated at the following location: 2403 Se Monroe St, Milwaukie, OR, 972227646.
What is the Kevin Reed Packham's specialty and taxonomy code?
The Kevin Reed Packham's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Kevin Reed Packham receive the assignment of its 1285629766 from the Centers for Medicare & Medicaid Services?
The Kevin Reed Packham was issued its 1285629766 by the Centers for Medicare & Medicaid Services on 2005-09-12.
When was the Kevin Reed Packham's information last updated?
The Kevin Reed Packham's information was last updated on 2007-07-08.