Wild Rivers Physiatry, Inc in Gold Beach - Specialist
Wild Rivers Physiatry, Inc - NPI 1598930430
Wild Rivers Physiatry, Inc is a Specialist in Gold Beach, Oregon. Wild Rivers Physiatry, Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Wild Rivers Physiatry, Inc is 1598930430. The last update date is 2008-04-22.
Wild Rivers Physiatry, Inc's current location address is Po Box 950, Gold Beach, Oregon. You can contact this provider via phone number 7074647840 and fax number 7074647845. The mailing address for Wild Rivers Physiatry, Inc is Po Box 950, Gold Beach, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wild Rivers Physiatry, Inc |
|---|---|
| Address | Po Box 950, Gold Beach, Oregon |
| Phone Number | 7074647840 |
| Fax Number | 7074647845 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Coelho Paul |
| Credentials | M.D. |
| Telephone Number | 7074647840 |
NPI Number Detail
| NPI Number | 1598930430 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | Po Box 950 |
|---|---|
| City | Gold Beach |
| State | Oregon (OR) |
| Post Code | 974440950 |
| Phone Number | 7074647840 |
| Fax Number | 7074647845 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD26085 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 273955 | OR | -- | |
| RHD146992 | OR | RADIOGRAPHY AND FLUOROSCOPY |
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What is the unique provider identifier assigned to Wild Rivers Physiatry, Inc?
The Wild Rivers Physiatry, Inc has been issued the NPI (National Provider Identifier) 1598930430 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Wild Rivers Physiatry, Inc located?
The Wild Rivers Physiatry, Inc is located at Po Box 950, Gold Beach, OR 974440950.
What is Wild Rivers Physiatry, Inc's area of expertise and its corresponding taxonomy classification?
The Wild Rivers Physiatry, Inc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did Wild Rivers Physiatry, Inc receive its 1598930430 assignment from the Centers for Medicare & Medicaid Services?
The Wild Rivers Physiatry, Inc was assigned its 1598930430 on 2008-04-22, 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 Wild Rivers Physiatry, Inc's details last updated?
The information pertaining to the Wild Rivers Physiatry, Inc, including its address, specialty, and other details, was most recently updated on 2008-04-22.