Robert Eugene Stafford in Portland - General Practice
Robert Eugene Stafford - NPI 1164630257
Robert Eugene Stafford is a General Practice in Portland, Oregon. Robert Eugene Stafford practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert Eugene Stafford is 1164630257. The last update date is 2007-07-08.
Robert Eugene Stafford's current location address is 2020 Se 182nd Ave, Portland, Oregon. You can contact this provider via phone number 5036672400 and fax number 5034929723. The mailing address for Robert Eugene Stafford is 2020 Se 182nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Eugene Stafford |
|---|---|
| Address | 2020 Se 182nd Ave, Portland, Oregon |
| Phone Number | 5036672400 |
| Fax Number | 5034929723 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1164630257 |
|---|---|
| Provider Enumeration Date | 2007-05-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2020 Se 182nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972335692 |
| Phone Number | 5036672400 |
| Fax Number | 5034929723 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D4984 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D4984 | OR | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Robert Eugene Stafford by the Centers for Medicare & Medicaid Services (CMS)?
The Robert Eugene Stafford has been assigned the NPI (National Provider Identifier) 1164630257. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Robert Eugene Stafford is physically located?
The Robert Eugene Stafford is situated at the following address: 2020 Se 182Nd Ave, Portland, OR 972335692.
What is Robert Eugene Stafford's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robert Eugene Stafford is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When did Robert Eugene Stafford receive its 1164630257 assignment?
The Robert Eugene Stafford was assigned its 1164630257 on 2007-05-20, which is the date when this unique identifier was issued to the organization.
When was the information related to Robert Eugene Stafford most recently updated or refreshed?
The details pertaining to the Robert Eugene Stafford, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.