Jacob Thomas Janecek in Portland - Pediatrics

Jacob Thomas Janecek - NPI 1992741441

Jacob Thomas Janecek is a Pediatrics in Portland, Oregon. Jacob Thomas Janecek practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jacob Thomas Janecek is 1992741441. The last update date is 2007-07-08.

Jacob Thomas Janecek's current location address is 17430 Nw Solano Ln, Portland, Oregon. You can contact this provider via phone number 5035338441 and fax number 5035338403. The mailing address for Jacob Thomas Janecek is 17430 Nw Solano Ln, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacob Thomas Janecek
Address 17430 Nw Solano Ln, Portland, Oregon
Phone Number 5035338441
Fax Number 5035338403
Sole Proprietor X
Credentials O.D

NPI Number Detail

NPI Number 1992741441
Provider Enumeration Date 2006-06-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 17430 Nw Solano Ln
City Portland
State Oregon (OR)
Post Code 972292239
Phone Number 5035338441
Fax Number 5035338403

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 152Wp0200X
Licence No 2877AT
Definition:
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
181435 OR --

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FAQs about Jacob Thomas Janecek

What is the unique 10-digit identification code issued to Jacob Thomas Janecek by the Centers for Medicare & Medicaid Services?

The Jacob Thomas Janecek has been assigned the NPI (National Provider Identifier) 1992741441 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Jacob Thomas Janecek's facilities are situated?

The facilities of Jacob Thomas Janecek are physically located at the following address: 17430 Nw Solano Ln, Portland, OR, 972292239.

What is Jacob Thomas Janecek'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 Jacob Thomas Janecek is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 152Wp0200X.

On what date did the Jacob Thomas Janecek receive its 1992741441 assignment from the Centers for Medicare & Medicaid Services?

The Jacob Thomas Janecek was assigned its 1992741441 by the Centers for Medicare & Medicaid Services on 2006-06-22.

As of what date was the information pertaining to Jacob Thomas Janecek, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jacob Thomas Janecek, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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