D Gregory Luce in Beaverton - Pediatrics

D Gregory Luce - NPI 1386631380

D Gregory Luce is a Pediatrics in Beaverton, Oregon. D Gregory Luce practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for D Gregory Luce is 1386631380. The last update date is 2007-07-08.

D Gregory Luce's current location address is 14667 Sw Teal Blvd, Beaverton, Oregon. You can contact this provider via phone number 5035792020 and fax number 5035790404. The mailing address for D Gregory Luce is 14667 Sw Teal Blvd, Beaverton, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name D Gregory Luce
Address 14667 Sw Teal Blvd, Beaverton, Oregon
Phone Number 5035792020
Fax Number 5035790404
Sole Proprietor X
Credentials O.D.

NPI Number Detail

NPI Number 1386631380
Provider Enumeration Date 2005-10-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 14667 Sw Teal Blvd
City Beaverton
State Oregon (OR)
Post Code 970076194
Phone Number 5035792020
Fax Number 5035790404

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 152Wp0200X
Licence No 2235T
Definition:
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

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FAQs about D Gregory Luce

What is the unique 10-digit identifier code issued to D Gregory Luce by the Centers for Medicare & Medicaid Services?

The D Gregory Luce has been assigned the NPI (National Provider Identifier) 1386631380 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of D Gregory Luce?

The D Gregory Luce is situated at 14667 Sw Teal Blvd, in the city of Beaverton, state of OR, with the zip code 970076194.

What is D Gregory Luce's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for D Gregory Luce is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 152Wp0200X.

On what date did D Gregory Luce receive its 1386631380 assignment from the Centers for Medicare & Medicaid Services?

The D Gregory Luce was assigned its 1386631380 on 2005-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to D Gregory Luce last refreshed?

The information related to the D Gregory Luce, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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