Diane Michelle Jensen-Rucker in Portland - Specialist
Diane Michelle Jensen-Rucker - NPI 1629140884
Diane Michelle Jensen-Rucker is a Specialist in Portland, Oregon. Diane Michelle Jensen-Rucker practices all healthcare services and medical treatments related to Specialist. The NPI Number for Diane Michelle Jensen-Rucker is 1629140884. The last update date is 2007-07-08.
Diane Michelle Jensen-Rucker's current location address is 2330 Nw Flanders St, Portland, Oregon. You can contact this provider via phone number 5039578885. The mailing address for Diane Michelle Jensen-Rucker is 2330 Nw Flanders St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Michelle Jensen-Rucker |
|---|---|
| Address | 2330 Nw Flanders St, Portland, Oregon |
| Phone Number | 5039578885 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1629140884 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2330 Nw Flanders St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972103442 |
| Phone Number | 5039578885 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 7404 |
|
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 Diane Michelle Jensen-Rucker's unique identification number?
The Diane Michelle Jensen-Rucker has been assigned the NPI (National Provider Identifier) Number 1629140884 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Diane Michelle Jensen-Rucker's facilities are geographically located?
The facilities of Diane Michelle Jensen-Rucker are physically situated at the following location: 2330 Nw Flanders St, Portland, OR, 972103442.
What is Diane Michelle Jensen-Rucker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Diane Michelle Jensen-Rucker is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When did the Diane Michelle Jensen-Rucker receive its 1629140884?
The Diane Michelle Jensen-Rucker was issued its 1629140884 on 2006-11-14, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Diane Michelle Jensen-Rucker, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Diane Michelle Jensen-Rucker, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.