Kelly Dawn Block is a Specialist in Beaverton, Oregon. Kelly Dawn Block practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kelly Dawn Block is 1396831913. The last update date is 2022-02-04.
Kelly Dawn Block's current location address is 4855 Sw Western Ave, Beaverton, Oregon. You can contact this provider via phone number 5033502408 and fax number 5033502438. The mailing address for Kelly Dawn Block is 4855 Sw Western Ave, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Dawn Block |
|---|---|
| Address | 4855 Sw Western Ave, Beaverton, Oregon |
| Phone Number | 5033502408 |
| Fax Number | 5033502438 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396831913 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2022-02-04 |
Provider Mailing Address Detail
| Address | 4855 Sw Western Ave |
|---|---|
| City | Beaverton |
| State | Oregon (OR) |
| Post Code | 970053460 |
| Phone Number | 5033502408 |
| Fax Number | 5033502438 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD20692 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identification code assigned to Kelly Dawn Block by the Centers for Medicare & Medicaid Services?
The Kelly Dawn Block has been issued the NPI (National Provider Identifier) 1396831913. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kelly Dawn Block is located?
The Kelly Dawn Block is situated at the following address: 4855 Sw Western Ave, Beaverton, OR, 970053460.
What is Kelly Dawn Block's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Dawn Block's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396831913 to Kelly Dawn Block?
The Centers for Medicare & Medicaid Services originally issued the 1396831913 to Kelly Dawn Block on 2006-10-04.
As of what date were the Kelly Dawn Block's details last updated?
The information pertaining to the Kelly Dawn Block, including its address, specialty, and other details, was most recently updated on 2022-02-04.
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