Teresa Ann Martisak in Portland - Diabetes Educator

Teresa Ann Martisak - NPI 1225150741

Teresa Ann Martisak is a Diabetes Educator in Portland, Oregon. Teresa Ann Martisak practices all healthcare services and medical treatments related to Diabetes Educator. The NPI Number for Teresa Ann Martisak is 1225150741. The last update date is 2012-12-04.

Teresa Ann Martisak's current location address is Po Box 3158, Portland, Oregon. You can contact this provider via phone number 5417326957 and fax number 5417327901. The mailing address for Teresa Ann Martisak is Po Box 3158, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Teresa Ann Martisak
Address Po Box 3158, Portland, Oregon
Phone Number 5417326957
Fax Number 5417327901
Sole Proprietor N
Credentials RN CDE

NPI Number Detail

NPI Number 1225150741
Provider Enumeration Date 2007-04-04
Last Updated Date 2012-12-04

Provider Mailing Address Detail

Address Po Box 3158
City Portland
State Oregon (OR)
Post Code 972083158
Phone Number 5417326957
Fax Number 5417327901

Provider's Primary Taxonomy Detail

Speciality Diabetes Educator
Taxonomy 163Wd0400X
Licence No 86006602
Definition:
A registered nurse who teaches diabetes self-management skills.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
086006602RN OR RN LICENSE

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FAQs about Teresa Ann Martisak

What is the Teresa Ann Martisak's 1225150741?

The Teresa Ann Martisak's NPI (National Provider Identifier) Number is 1225150741. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Teresa Ann Martisak?

The Teresa Ann Martisak is situated at Po Box 3158, in the city of Portland, state of OR, with the zip code 972083158.

What is Teresa Ann Martisak's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Teresa Ann Martisak is Diabetes Educator, and the corresponding taxonomy classification code for this specialized field is 163Wd0400X.

When was the Teresa Ann Martisak's 1225150741 issued?

The Teresa Ann Martisak's 1225150741 was issued on 2007-04-04.

As of what date were the Teresa Ann Martisak's details last updated?

The information pertaining to the Teresa Ann Martisak, including its address, specialty, and other details, was most recently updated on 2012-12-04.

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