Georgianna Wade in Gresham - Specialist

Georgianna Wade - NPI 1558400713

Georgianna Wade is a Specialist in Gresham, Oregon. Georgianna Wade practices all healthcare services and medical treatments related to Specialist. The NPI Number for Georgianna Wade is 1558400713. The last update date is 2007-07-08.

Georgianna Wade's current location address is 343 W Powell Blvd, Gresham, Oregon. You can contact this provider via phone number 5036669171 and fax number 5036679072. The mailing address for Georgianna Wade is 343 W Powell Blvd, Gresham, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Georgianna Wade
Address 343 W Powell Blvd, Gresham, Oregon
Phone Number 5036669171
Fax Number 5036679072
Sole Proprietor Y
Credentials LMT

NPI Number Detail

NPI Number 1558400713
Provider Enumeration Date 2007-02-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 343 W Powell Blvd
City Gresham
State Oregon (OR)
Post Code 970307050
Phone Number 5036669171
Fax Number 5036679072

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 7812
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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FAQs about Georgianna Wade

What is the unique identification code assigned to Georgianna Wade by the Centers for Medicare & Medicaid Services?

The Georgianna Wade has been issued the NPI (National Provider Identifier) 1558400713. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Georgianna Wade is located?

The Georgianna Wade is situated at the following address: 343 W Powell Blvd, Gresham, OR, 970307050.

What is Georgianna Wade'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 Georgianna Wade is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

When did Georgianna Wade receive its 1558400713 assignment?

The Georgianna Wade was assigned its 1558400713 on 2007-02-05, which is the date when this unique identifier was issued to the organization.

When was the information regarding Georgianna Wade, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Georgianna Wade, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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