Kenneth James Erdman in Portland - Optometrist
Kenneth James Erdman - NPI 1699808931
Kenneth James Erdman is a Optometrist in Portland, Oregon. Kenneth James Erdman practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kenneth James Erdman is 1699808931. The last update date is 2007-07-08.
Kenneth James Erdman's current location address is 12300 Se 82nd Ave, Portland, Oregon. You can contact this provider via phone number 5036535935. The mailing address for Kenneth James Erdman is 12300 Se 82nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth James Erdman |
|---|---|
| Address | 12300 Se 82nd Ave, Portland, Oregon |
| Phone Number | 5036535935 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1699808931 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12300 Se 82nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972667717 |
| Phone Number | 5036535935 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2989T |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 075 0553367 | OR | EYEMED |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth James Erdman by the Centers for Medicare & Medicaid Services?
The Kenneth James Erdman has been assigned the NPI (National Provider Identifier) 1699808931 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 address where Kenneth James Erdman is geographically located?
The Kenneth James Erdman is physically situated at the following location: 12300 Se 82Nd Ave, Portland, OR, 972667717.
What is the area of specialization for Kenneth James Erdman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth James Erdman is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
When did Kenneth James Erdman receive its 1699808931 assignment?
The Kenneth James Erdman was assigned its 1699808931 on 2007-03-14, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Kenneth James Erdman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth James Erdman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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