Gavin John Button in Portland - Specialist

Gavin John Button - NPI 1639171259

Gavin John Button is a Specialist in Portland, Oregon. Gavin John Button practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gavin John Button is 1639171259. The last update date is 2023-04-06.

Gavin John Button's current location address is 847 Ne 19th Ave Ste 300, Portland, Oregon. You can contact this provider via phone number 5039632801 and fax number 5039632825. The mailing address for Gavin John Button is 847 Ne 19th Ave Ste 300, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Gavin John Button
Address 847 Ne 19th Ave Ste 300, Portland, Oregon
Phone Number 5039632801
Fax Number 5039632825
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1639171259
Provider Enumeration Date 2005-08-12
Last Updated Date 2023-04-06

Provider Mailing Address Detail

Address 847 Ne 19th Ave Ste 300
City Portland
State Oregon (OR)
Post Code 972322686
Phone Number 5039632801
Fax Number 5039632825

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD25510
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
213374 OR --
2232835 WA --

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FAQs about Gavin John Button

What is the unique 10-digit identification code assigned to Gavin John Button by the Centers for Medicare & Medicaid Services?

The Gavin John Button has been issued the NPI (National Provider Identifier) 1639171259, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Gavin John Button is physically located?

The Gavin John Button is situated at the following address: 847 Ne 19Th Ave Ste 300, Portland, OR 972322686.

What is Gavin John Button's specialized field of practice, and what is the corresponding taxonomy classification code?

The Gavin John Button's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did Gavin John Button receive its 1639171259 assignment from the Centers for Medicare & Medicaid Services?

The Gavin John Button was assigned its 1639171259 on 2005-08-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Gavin John Button's details last updated?

The information pertaining to the Gavin John Button, including its address, specialty, and other details, was most recently updated on 2023-04-06.

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