Michelle Christine Crocker in Portland - General Practice

Michelle Christine Crocker - NPI 1295993541

Michelle Christine Crocker is a General Practice in Portland, Oregon. Michelle Christine Crocker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michelle Christine Crocker is 1295993541. The last update date is 2014-10-06.

Michelle Christine Crocker's current location address is 11786 Sw Barnes Rd Ste 320, Portland, Oregon. You can contact this provider via phone number 5036413550. The mailing address for Michelle Christine Crocker is 11786 Sw Barnes Rd Ste 320, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle Christine Crocker
Address 11786 Sw Barnes Rd Ste 320, Portland, Oregon
Phone Number 5036413550
Fax Number
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1295993541
Provider Enumeration Date 2008-05-22
Last Updated Date 2014-10-06

Provider Mailing Address Detail

Address 11786 Sw Barnes Rd Ste 320
City Portland
State Oregon (OR)
Post Code 972255930
Phone Number 5036413550
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D8443
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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FAQs about Michelle Christine Crocker

What is the unique provider identifier assigned to Michelle Christine Crocker?

The Michelle Christine Crocker has been issued the NPI (National Provider Identifier) 1295993541 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Michelle Christine Crocker is geographically located?

The Michelle Christine Crocker is physically situated at the following location: 11786 Sw Barnes Rd Ste 320, Portland, OR, 972255930.

What is the area of specialization for Michelle Christine Crocker, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Michelle Christine Crocker is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1295993541 to Michelle Christine Crocker?

The Centers for Medicare & Medicaid Services assigned the 1295993541 to Michelle Christine Crocker on 2008-05-22.

As of what date were the details pertaining to Michelle Christine Crocker last refreshed?

The information related to the Michelle Christine Crocker, including its address, specialty, and other relevant details, was last updated on 2014-10-06.

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