Oregon Clinic Pc is a Specialist in Portland, Oregon. Oregon Clinic Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Oregon Clinic Pc is 1366699464. The last update date is 2015-07-07.
Oregon Clinic Pc's current location address is 847 Ne 19th Ave, Portland, Oregon. You can contact this provider via phone number 5039632801 and fax number 5039632825. The mailing address for Oregon Clinic Pc is 847 Ne 19th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oregon Clinic Pc |
|---|---|
| Address | 847 Ne 19th Ave, Portland, Oregon |
| Phone Number | 5039632801 |
| Fax Number | 5039632825 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO PRESID |
|---|---|
| Authorized Official Name | Fausel S Craig |
| Credentials | M.D. |
| Telephone Number | 5039632801 |
NPI Number Detail
| NPI Number | 1366699464 |
|---|---|
| Provider Enumeration Date | 2008-08-20 |
| Last Updated Date | 2015-07-07 |
Provider Mailing Address Detail
| Address | 847 Ne 19th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972322684 |
| Phone Number | 5039632801 |
| Fax Number | 5039632825 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 160412 |
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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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What is the unique identifier code issued to Oregon Clinic Pc by the Centers for Medicare & Medicaid Services?
The Oregon Clinic Pc has been assigned the NPI (National Provider Identifier) 1366699464. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Oregon Clinic Pc is physically located?
The Oregon Clinic Pc is situated at the following address: 847 Ne 19Th Ave, Portland, OR 972322684.
What is Oregon Clinic Pc'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 Oregon Clinic Pc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1366699464 to Oregon Clinic Pc?
The Oregon Clinic Pc received its 1366699464 assignment from the Centers for Medicare & Medicaid Services on 2008-08-20.
When was the information regarding Oregon Clinic Pc most recently updated?
The details pertaining to the Oregon Clinic Pc, including its address, specialty, and other relevant information, were last refreshed on 2015-07-07.
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