Viyada Thongouthaithip in Portland - Specialist

Viyada Thongouthaithip - NPI 1144254194

Viyada Thongouthaithip is a Specialist in Portland, Oregon. Viyada Thongouthaithip practices all healthcare services and medical treatments related to Specialist. The NPI Number for Viyada Thongouthaithip is 1144254194. The last update date is 2008-06-02.

Viyada Thongouthaithip's current location address is 9155 Sw Barnes Rd Ste 310, Portland, Oregon. You can contact this provider via phone number 5032978491 and fax number 5032978492. The mailing address for Viyada Thongouthaithip is 9155 Sw Barnes Rd Ste 310, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Viyada Thongouthaithip
Address 9155 Sw Barnes Rd Ste 310, Portland, Oregon
Phone Number 5032978491
Fax Number 5032978492
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1144254194
Provider Enumeration Date 2006-07-10
Last Updated Date 2008-06-02

Provider Mailing Address Detail

Address 9155 Sw Barnes Rd Ste 310
City Portland
State Oregon (OR)
Post Code 972256630
Phone Number 5032978491
Fax Number 5032978492

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD 12967
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
93 0797900 TAX ID
24728-8 OR --

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FAQs about Viyada Thongouthaithip

What is the unique 10-digit identifier code issued to Viyada Thongouthaithip by the Centers for Medicare & Medicaid Services?

The Viyada Thongouthaithip has been assigned the NPI (National Provider Identifier) 1144254194 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Viyada Thongouthaithip is geographically located?

The Viyada Thongouthaithip is physically situated at the following location: 9155 Sw Barnes Rd Ste 310, Portland, OR, 972256630.

What is Viyada Thongouthaithip's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Viyada Thongouthaithip's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1144254194 to Viyada Thongouthaithip?

The Viyada Thongouthaithip received its 1144254194 assignment from the Centers for Medicare & Medicaid Services on 2006-07-10.

As of what date was the information regarding Viyada Thongouthaithip, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Viyada Thongouthaithip, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-02.

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