Oregon Sports Medicine Associates in Tigard - Specialist
Oregon Sports Medicine Associates - NPI 1093713729
Oregon Sports Medicine Associates is a Specialist in Tigard, Oregon. Oregon Sports Medicine Associates practices all healthcare services and medical treatments related to Specialist. The NPI Number for Oregon Sports Medicine Associates is 1093713729. The last update date is 2007-09-26.
Oregon Sports Medicine Associates's current location address is 7300 Sw Childs Rd, Tigard, Oregon. You can contact this provider via phone number 5036928700 and fax number 5036928710. The mailing address for Oregon Sports Medicine Associates is 7300 Sw Childs Rd, Tigard, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oregon Sports Medicine Associates |
|---|---|
| Address | 7300 Sw Childs Rd, Tigard, Oregon |
| Phone Number | 5036928700 |
| Fax Number | 5036928710 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Greenleaf E. Jonathan |
| Credentials | M.D. |
| Telephone Number | 5036928700 |
NPI Number Detail
| NPI Number | 1093713729 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2007-09-26 |
Provider Mailing Address Detail
| Address | 7300 Sw Childs Rd |
|---|---|
| City | Tigard |
| State | Oregon (OR) |
| Post Code | 972247713 |
| Phone Number | 5036928700 |
| Fax Number | 5036928710 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
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 10-digit identification code assigned to Oregon Sports Medicine Associates by the Centers for Medicare & Medicaid Services?
The Oregon Sports Medicine Associates has been issued the NPI (National Provider Identifier) 1093713729, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Oregon Sports Medicine Associates's physical address?
The Oregon Sports Medicine Associates is physically located at 7300 Sw Childs Rd, in the city of Tigard, OR, with the postal code 972247713.
What is the Oregon Sports Medicine Associates's area of specialization and corresponding taxonomy classification?
The Oregon Sports Medicine Associates's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When did the Oregon Sports Medicine Associates receive its 1093713729?
The Oregon Sports Medicine Associates was issued its 1093713729 on 2005-07-07, which is the date when the organization was assigned this unique identifier.
On what date did the Oregon Sports Medicine Associates receive its 1093713729 assignment from the Centers for Medicare & Medicaid Services?
The Oregon Sports Medicine Associates was assigned its 1093713729 by the Centers for Medicare & Medicaid Services on 2005-07-07.
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