Daryn W Derstine Od Pc in Portland - Optometrist

Daryn W Derstine Od Pc - NPI 1285779140

Daryn W Derstine Od Pc is a Optometrist in Portland, Oregon. Daryn W Derstine Od Pc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Daryn W Derstine Od Pc is 1285779140. The last update date is 2020-08-22.

Daryn W Derstine Od Pc's current location address is 12000 Se 82nd Ave, Portland, Oregon. You can contact this provider via phone number 5036546217 and fax number 5036549335. The mailing address for Daryn W Derstine Od Pc is 12000 Se 82nd Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Daryn W Derstine Od Pc
Address 12000 Se 82nd Ave, Portland, Oregon
Phone Number 5036546217
Fax Number 5036549335
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Derstine W Daryn
Credentials O.D.
Telephone Number 5036546217

NPI Number Detail

NPI Number 1285779140
Provider Enumeration Date 2007-02-20
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 12000 Se 82nd Ave
City Portland
State Oregon (OR)
Post Code 97086
Phone Number 5036546217
Fax Number 5036549335

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2773ATI
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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FAQs about Daryn W Derstine Od Pc

What is the unique identification code assigned to Daryn W Derstine Od Pc by the Centers for Medicare & Medicaid Services?

The Daryn W Derstine Od Pc has been issued the NPI (National Provider Identifier) 1285779140. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Daryn W Derstine Od Pc is located?

The Daryn W Derstine Od Pc is situated at the following address: 12000 Se 82Nd Ave, Portland, OR, 97086.

What is the Daryn W Derstine Od Pc's area of specialization and corresponding taxonomy classification?

The Daryn W Derstine Od Pc's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.

When did Daryn W Derstine Od Pc receive its 1285779140 assignment?

The Daryn W Derstine Od Pc was assigned its 1285779140 on 2007-02-20, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Daryn W Derstine Od Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Daryn W Derstine Od Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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