Barry T Degregorio in Portland - Specialist

Barry T Degregorio - NPI 1205948726

Barry T Degregorio is a Specialist in Portland, Oregon. Barry T Degregorio practices all healthcare services and medical treatments related to Specialist. The NPI Number for Barry T Degregorio is 1205948726. The last update date is 2007-07-08.

Barry T Degregorio's current location address is 1130 Nw 22nd Ave, Portland, Oregon. You can contact this provider via phone number 5032297137 and fax number 5032410628. The mailing address for Barry T Degregorio is 1130 Nw 22nd Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Barry T Degregorio
Address 1130 Nw 22nd Ave, Portland, Oregon
Phone Number 5032297137
Fax Number 5032410628
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1205948726
Provider Enumeration Date 2006-08-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1130 Nw 22nd Ave
City Portland
State Oregon (OR)
Post Code 972102900
Phone Number 5032297137
Fax Number 5032410628

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD17151
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
08070-5 OR --

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FAQs about Barry T Degregorio

What is the Barry T Degregorio's 1205948726?

The Barry T Degregorio's NPI (National Provider Identifier) Number is 1205948726. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Barry T Degregorio's facilities are situated?

The facilities of Barry T Degregorio are physically located at the following address: 1130 Nw 22Nd Ave, Portland, OR, 972102900.

What is the Barry T Degregorio's specialty and taxonomy code?

The Barry T Degregorio's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date was the 1205948726 assigned to Barry T Degregorio?

The Barry T Degregorio was issued its 1205948726 on 2006-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Barry T Degregorio most recently updated or revised?

The information pertaining to Barry T Degregorio, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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