Michael Dean Wade is a Specialist in Gresham, Oregon. Michael Dean Wade practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michael Dean Wade is 1215076476. The last update date is 2009-04-21.
Michael Dean 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 Michael Dean Wade is 343 W Powell Blvd, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Dean Wade |
|---|---|
| Address | 343 W Powell Blvd, Gresham, Oregon |
| Phone Number | 5036669171 |
| Fax Number | 5036679072 |
| Sole Proprietor | Y |
| Credentials | MS, LMT |
NPI Number Detail
| NPI Number | 1215076476 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2009-04-21 |
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 | 7803 |
|
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. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Michael Dean Wade by the Centers for Medicare & Medicaid Services?
The Michael Dean Wade has been assigned the NPI (National Provider Identifier) 1215076476 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Michael Dean Wade is physically located?
The Michael Dean Wade is physically situated at the following address: 343 W Powell Blvd, Gresham, OR, 970307050.
What is the area of specialization for Michael Dean Wade, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Dean Wade is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215076476 to Michael Dean Wade?
The Centers for Medicare & Medicaid Services originally issued the 1215076476 to Michael Dean Wade on 2007-02-05.
As of what date were the Michael Dean Wade's details last updated?
The information pertaining to the Michael Dean Wade, including its address, specialty, and other details, was most recently updated on 2009-04-21.