Daryn W. Derstine in Portland - Optometrist
Daryn W. Derstine - NPI 1669490686
Daryn W. Derstine is a Optometrist in Portland, Oregon. Daryn W. Derstine practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Daryn W. Derstine is 1669490686. The last update date is 2019-08-15.
Daryn W. Derstine's current location address is 6539 Se Milwaukie Ave, Portland, Oregon. You can contact this provider via phone number 5032366008 and fax number 5032362057. The mailing address for Daryn W. Derstine is 6539 Se Milwaukie Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daryn W. Derstine |
|---|---|
| Address | 6539 Se Milwaukie Ave, Portland, Oregon |
| Phone Number | 5032366008 |
| Fax Number | 5032362057 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1669490686 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2019-08-15 |
Provider Mailing Address Detail
| Address | 6539 Se Milwaukie Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972025519 |
| Phone Number | 5032366008 |
| Fax Number | 5032362057 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2773ATI |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique identifier code issued to Daryn W. Derstine by the Centers for Medicare & Medicaid Services?
The Daryn W. Derstine has been assigned the NPI (National Provider Identifier) 1669490686. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Daryn W. Derstine is geographically located?
The Daryn W. Derstine is physically situated at the following location: 6539 Se Milwaukie Ave, Portland, OR, 972025519.
What is Daryn W. Derstine's area of expertise and its corresponding taxonomy classification?
The Daryn W. Derstine's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
When did the Daryn W. Derstine receive its 1669490686?
The Daryn W. Derstine was issued its 1669490686 on 2006-07-17, which is the date when the organization was assigned this unique identifier.
As of what date were the Daryn W. Derstine's details last updated?
The information pertaining to the Daryn W. Derstine, including its address, specialty, and other details, was most recently updated on 2019-08-15.