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 1417112616. The last update date is 2016-03-29.
Oregon Clinic Pc's current location address is Po Box 5087, Portland, Oregon. You can contact this provider via phone number 5039632801 and fax number 5039632825. The mailing address for Oregon Clinic Pc is Po Box 5087, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oregon Clinic Pc |
|---|---|
| Address | Po Box 5087, 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 | 1417112616 |
|---|---|
| Provider Enumeration Date | 2008-07-28 |
| Last Updated Date | 2016-03-29 |
Provider Mailing Address Detail
| Address | Po Box 5087 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972085087 |
| 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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Oregon Clinic Pc by the Centers for Medicare & Medicaid Services?
The Oregon Clinic Pc has been issued the NPI (National Provider Identifier) 1417112616 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Oregon Clinic Pc is located?
The Oregon Clinic Pc is situated at the following address: Po Box 5087, Portland, OR, 972085087.
What is the Oregon Clinic Pc's specialty and taxonomy code?
The Oregon Clinic Pc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417112616 to Oregon Clinic Pc?
The Centers for Medicare & Medicaid Services originally issued the 1417112616 to Oregon Clinic Pc on 2008-07-28.
As of what date were the details related to Oregon Clinic Pc most recently updated or revised?
The information pertaining to Oregon Clinic Pc, including its address, specialty, and other relevant details, was last updated or revised on 2016-03-29.