Northwest Internal Medicine Llc in Tualatin - Specialist
Northwest Internal Medicine Llc - NPI 1932232741
Northwest Internal Medicine Llc is a Specialist in Tualatin, Oregon. Northwest Internal Medicine Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Northwest Internal Medicine Llc is 1932232741. The last update date is 2014-12-02.
Northwest Internal Medicine Llc's current location address is Po Box 869, Tualatin, Oregon. You can contact this provider via phone number 5033291851 and fax number 5038858946. The mailing address for Northwest Internal Medicine Llc is Po Box 869, Tualatin, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Northwest Internal Medicine Llc |
---|---|
Address | Po Box 869, Tualatin, Oregon |
Phone Number | 5033291851 |
Fax Number | 5038858946 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Haynes Marie Tana |
Credentials | MD |
Telephone Number | 5033291851 |
NPI Number Detail
NPI Number | 1932232741 |
---|---|
Provider Enumeration Date | 2007-03-13 |
Last Updated Date | 2014-12-02 |
Provider Mailing Address Detail
Address | Po Box 869 |
---|---|
City | Tualatin |
State | Oregon (OR) |
Post Code | 970620869 |
Phone Number | 5033291851 |
Fax Number | 5038858946 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
Licence No | MD24660 |
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 |
---|---|---|---|
29123 | OR | -- |
Post Comment/ Review Below
What is the Northwest Internal Medicine Llc's 1932232741?
The Northwest Internal Medicine Llc's NPI (National Provider Identifier) Number is 1932232741. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Northwest Internal Medicine Llc is physically located?
The Northwest Internal Medicine Llc is physically situated at the following address: Po Box 869, Tualatin, OR, 970620869.
What is Northwest Internal Medicine Llc'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 Northwest Internal Medicine Llc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Northwest Internal Medicine Llc receive the assignment of its 1932232741 from the Centers for Medicare & Medicaid Services?
The Northwest Internal Medicine Llc was issued its 1932232741 by the Centers for Medicare & Medicaid Services on 2007-03-13.
As of what date were the details pertaining to Northwest Internal Medicine Llc last refreshed?
The information related to the Northwest Internal Medicine Llc, including its address, specialty, and other relevant details, was last updated on 2014-12-02.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC