Knott Street Dermatology Pc in Portland - Specialist
Knott Street Dermatology Pc - NPI 1891741864
Knott Street Dermatology Pc is a Specialist in Portland, Oregon. Knott Street Dermatology Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Knott Street Dermatology Pc is 1891741864. The last update date is 2014-08-13.
Knott Street Dermatology Pc's current location address is 301 Ne Knott St, Portland, Oregon. You can contact this provider via phone number 5032532675 and fax number 5032534297. The mailing address for Knott Street Dermatology Pc is 301 Ne Knott St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Knott Street Dermatology Pc |
|---|---|
| Address | 301 Ne Knott St, Portland, Oregon |
| Phone Number | 5032532675 |
| Fax Number | 5032534297 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hanson Leif Eric |
| Credentials | MD |
| Telephone Number | 5032533910 |
NPI Number Detail
| NPI Number | 1891741864 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2014-08-13 |
Provider Mailing Address Detail
| Address | 301 Ne Knott St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972123014 |
| Phone Number | 5032532675 |
| Fax Number | 5032534297 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD26393 |
|
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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What is the unique identifier code issued to Knott Street Dermatology Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Knott Street Dermatology Pc has been assigned the NPI (National Provider Identifier) 1891741864. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Knott Street Dermatology Pc located?
The Knott Street Dermatology Pc is located at 301 Ne Knott St, Portland, OR 972123014.
What is Knott Street Dermatology Pc's area of expertise and its corresponding taxonomy classification?
The Knott Street Dermatology Pc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
When did the Knott Street Dermatology Pc receive its 1891741864?
The Knott Street Dermatology Pc was issued its 1891741864 on 2006-05-25, which is the date when the organization was assigned this unique identifier.
When was the Knott Street Dermatology Pc's information last updated?
The Knott Street Dermatology Pc's information was last updated on 2014-08-13.