Jessie Pavlinac in Portland - Nutrition, Renal
Jessie Pavlinac - NPI 1467593111
Jessie Pavlinac is a Nutrition, Renal in Portland, Oregon. Jessie Pavlinac practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Jessie Pavlinac is 1467593111. The last update date is 2007-07-12.
Jessie Pavlinac's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034943762. The mailing address for Jessie Pavlinac is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessie Pavlinac |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034943762 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RD, LD |
NPI Number Detail
| NPI Number | 1467593111 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034943762 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
| Licence No | 80 |
|
Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jessie Pavlinac by the Centers for Medicare & Medicaid Services?
The Jessie Pavlinac has been assigned the NPI (National Provider Identifier) 1467593111 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jessie Pavlinac's facilities are situated?
The facilities of Jessie Pavlinac are physically located at the following address: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.
What is Jessie Pavlinac's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jessie Pavlinac is Nutrition, Renal, and the corresponding taxonomy classification code for this specialized field is 133Vn1005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1467593111 to Jessie Pavlinac?
The Centers for Medicare & Medicaid Services originally issued the 1467593111 to Jessie Pavlinac on 2007-02-08.
As of what date were the details pertaining to Jessie Pavlinac last refreshed?
The information related to the Jessie Pavlinac, including its address, specialty, and other relevant details, was last updated on 2007-07-12.
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