David E Bilstrom in Portland - Specialist

David E Bilstrom - NPI 1790766764

David E Bilstrom is a Specialist in Portland, Oregon. David E Bilstrom practices all healthcare services and medical treatments related to Specialist. The NPI Number for David E Bilstrom is 1790766764. The last update date is 2013-04-16.

David E Bilstrom's current location address is 9370 Sw Greenburg Rd, Portland, Oregon. You can contact this provider via phone number 5032458060 and fax number 5032458104. The mailing address for David E Bilstrom is 9370 Sw Greenburg Rd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name David E Bilstrom
Address 9370 Sw Greenburg Rd, Portland, Oregon
Phone Number 5032458060
Fax Number 5032458104
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1790766764
Provider Enumeration Date 2005-11-08
Last Updated Date 2013-04-16

Provider Mailing Address Detail

Address 9370 Sw Greenburg Rd
City Portland
State Oregon (OR)
Post Code 972235442
Phone Number 5032458060
Fax Number 5032458104

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD10617
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
4545000 OR REGENCE BX OF OREGON
7343-01-01 00:0 OR --
30000141 OR RAILROAD MEDICARE
0000BHHMP OR MEDICARE NUMBER

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FAQs about David E Bilstrom

What is the unique 10-digit identification code assigned to David E Bilstrom by the Centers for Medicare & Medicaid Services?

The David E Bilstrom has been issued the NPI (National Provider Identifier) 1790766764, which 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 David E Bilstrom is located?

The David E Bilstrom is situated at the following address: 9370 Sw Greenburg Rd, Portland, OR, 972235442.

What is David E Bilstrom's specialized field of practice, and what is the corresponding taxonomy classification code?

The David E Bilstrom's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the David E Bilstrom receive the assignment of its 1790766764 from the Centers for Medicare & Medicaid Services?

The David E Bilstrom was issued its 1790766764 by the Centers for Medicare & Medicaid Services on 2005-11-08.

As of what date was the information regarding David E Bilstrom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to David E Bilstrom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-16.

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