Collaine Brooke Faddis in Portland - Specialist
Collaine Brooke Faddis - NPI 1184810301
Collaine Brooke Faddis is a Specialist in Portland, Oregon. Collaine Brooke Faddis practices all healthcare services and medical treatments related to Specialist. The NPI Number for Collaine Brooke Faddis is 1184810301. The last update date is 2007-09-20.
Collaine Brooke Faddis's current location address is 3031 Se 53rd Ave, Portland, Oregon. You can contact this provider via phone number 5038104941. The mailing address for Collaine Brooke Faddis is 3031 Se 53rd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Collaine Brooke Faddis |
|---|---|
| Address | 3031 Se 53rd Ave, Portland, Oregon |
| Phone Number | 5038104941 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1184810301 |
|---|---|
| Provider Enumeration Date | 2007-09-20 |
| Last Updated Date | 2007-09-20 |
Provider Mailing Address Detail
| Address | 3031 Se 53rd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972062119 |
| Phone Number | 5038104941 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 14317 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Collaine Brooke Faddis by the Centers for Medicare & Medicaid Services?
The Collaine Brooke Faddis has been assigned the NPI (National Provider Identifier) 1184810301 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Collaine Brooke Faddis's physical address?
The Collaine Brooke Faddis is physically located at 3031 Se 53Rd Ave, in the city of Portland, OR, with the postal code 972062119.
What is Collaine Brooke Faddis'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 Collaine Brooke Faddis is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When was the Collaine Brooke Faddis's 1184810301 issued?
The Collaine Brooke Faddis's 1184810301 was issued on 2007-09-20.
As of what date was the information pertaining to Collaine Brooke Faddis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Collaine Brooke Faddis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-20.