Chanda J Costello in Portland - General Practice
Chanda J Costello - NPI 1235385980
Chanda J Costello is a General Practice in Portland, Oregon. Chanda J Costello practices all healthcare services and medical treatments related to General Practice. The NPI Number for Chanda J Costello is 1235385980. The last update date is 2017-03-05.
Chanda J Costello's current location address is 10211 Sw Park Way, Portland, Oregon. You can contact this provider via phone number 5032036978. The mailing address for Chanda J Costello is 10211 Sw Park Way, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chanda J Costello |
|---|---|
| Address | 10211 Sw Park Way, Portland, Oregon |
| Phone Number | 5032036978 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1235385980 |
|---|---|
| Provider Enumeration Date | 2008-08-13 |
| Last Updated Date | 2017-03-05 |
Provider Mailing Address Detail
| Address | 10211 Sw Park Way |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972255009 |
| Phone Number | 5032036978 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D9133 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Chanda J Costello by the Centers for Medicare & Medicaid Services (CMS)?
The Chanda J Costello has been assigned the NPI (National Provider Identifier) 1235385980. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Chanda J Costello is located?
The Chanda J Costello is situated at the following address: 10211 Sw Park Way, Portland, OR, 972255009.
What is Chanda J Costello's area of expertise and its corresponding taxonomy classification?
The Chanda J Costello's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
When was the Chanda J Costello's 1235385980 issued?
The Chanda J Costello's 1235385980 was issued on 2008-08-13.
When was the information pertaining to Chanda J Costello most recently updated or revised?
The details related to Chanda J Costello, including its address, specialty, and other relevant information, were last updated or revised on 2017-03-05.
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