Lake Wound Clinic-Klamath Falls in Klamath Falls - Specialist

Lake Wound Clinic-Klamath Falls - NPI 1134388713

Lake Wound Clinic-Klamath Falls is a Specialist in Klamath Falls, Oregon. Lake Wound Clinic-Klamath Falls practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lake Wound Clinic-Klamath Falls is 1134388713. The last update date is 2008-06-09.

Lake Wound Clinic-Klamath Falls's current location address is 2850 Daggett Ave, Klamath Falls, Oregon. You can contact this provider via phone number 5415175169 and fax number 5412731147. The mailing address for Lake Wound Clinic-Klamath Falls is 2850 Daggett Ave, Klamath Falls, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lake Wound Clinic-Klamath Falls
Address 2850 Daggett Ave, Klamath Falls, Oregon
Phone Number 5415175169
Fax Number 5412731147
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Bongiovanni M Cheryl
Credentials PHD
Telephone Number 5415175169

NPI Number Detail

NPI Number 1134388713
Provider Enumeration Date 2008-06-09
Last Updated Date 2008-06-09

Provider Mailing Address Detail

Address 2850 Daggett Ave
City Klamath Falls
State Oregon (OR)
Post Code 976011107
Phone Number 5415175169
Fax Number 5412731147

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
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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FAQs about Lake Wound Clinic-Klamath Falls

What is the unique identification code assigned to Lake Wound Clinic-Klamath Falls by the Centers for Medicare & Medicaid Services?

The Lake Wound Clinic-Klamath Falls has been issued the NPI (National Provider Identifier) 1134388713. 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 Lake Wound Clinic-Klamath Falls is located?

The Lake Wound Clinic-Klamath Falls is situated at the following address: 2850 Daggett Ave, Klamath Falls, OR, 976011107.

What is Lake Wound Clinic-Klamath Falls'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 Lake Wound Clinic-Klamath Falls is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1134388713 to Lake Wound Clinic-Klamath Falls?

The Lake Wound Clinic-Klamath Falls received its 1134388713 assignment from the Centers for Medicare & Medicaid Services on 2008-06-09.

When was the information regarding Lake Wound Clinic-Klamath Falls, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lake Wound Clinic-Klamath Falls, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-09.

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