Phyllis Michelle Braxton in Portland - Case Manager/care Coordinator
Phyllis Michelle Braxton - NPI 1811034069
Phyllis Michelle Braxton is a Case Manager/care Coordinator in Portland, Oregon. Phyllis Michelle Braxton practices all healthcare services and medical treatments related to Case Manager/care Coordinator. The NPI Number for Phyllis Michelle Braxton is 1811034069. The last update date is 2007-07-08.
Phyllis Michelle Braxton's current location address is 4025 Ne 109th Ave, Portland, Oregon. You can contact this provider via phone number 5038910676. The mailing address for Phyllis Michelle Braxton is 4025 Ne 109th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Michelle Braxton |
|---|---|
| Address | 4025 Ne 109th Ave, Portland, Oregon |
| Phone Number | 5038910676 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | QMHA |
NPI Number Detail
| NPI Number | 1811034069 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4025 Ne 109th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972202612 |
| Phone Number | 5038910676 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Case Manager/care Coordinator |
|---|---|
| Taxonomy | 171M00000X |
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Definition: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a pe |
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What is the unique 10-digit identifier code issued to Phyllis Michelle Braxton by the Centers for Medicare & Medicaid Services?
The Phyllis Michelle Braxton has been assigned the NPI (National Provider Identifier) 1811034069 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 Phyllis Michelle Braxton?
The Phyllis Michelle Braxton is situated at 4025 Ne 109Th Ave, in the city of Portland, state of OR, with the zip code 972202612.
What is Phyllis Michelle Braxton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Phyllis Michelle Braxton's specialized field of practice is Case Manager/care Coordinator, and the corresponding taxonomy code that categorizes this area of specialization is 171M00000X.
On what date did Phyllis Michelle Braxton receive its 1811034069 assignment from the Centers for Medicare & Medicaid Services?
The Phyllis Michelle Braxton was assigned its 1811034069 on 2007-01-30, 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 Phyllis Michelle Braxton's details last updated?
The information pertaining to the Phyllis Michelle Braxton, including its address, specialty, and other details, was most recently updated on 2007-07-08.