Lance J. Caddy is a Pain Medicine in Portland, Oregon. Lance J. Caddy practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Lance J. Caddy is 1104890011. The last update date is 2013-09-09.
Lance J. Caddy's current location address is Po Box 2040, Portland, Oregon. You can contact this provider via phone number 5032999906 and fax number 5032259002. The mailing address for Lance J. Caddy is Po Box 2040, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lance J. Caddy |
|---|---|
| Address | Po Box 2040, Portland, Oregon |
| Phone Number | 5032999906 |
| Fax Number | 5032259002 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104890011 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2013-09-09 |
Provider Mailing Address Detail
| Address | Po Box 2040 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972082040 |
| Phone Number | 5032999906 |
| Fax Number | 5032259002 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 207Lp2900X |
| Licence No | MD12078 |
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Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 757051043 | OR | RR MEDICARE | |
| MD842OR | AK | -- | |
| 170738 | OR | -- | |
| 8124398 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Lance J. Caddy by the Centers for Medicare & Medicaid Services?
The Lance J. Caddy has been issued the NPI (National Provider Identifier) 1104890011. 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 Lance J. Caddy is located?
The Lance J. Caddy is situated at the following address: Po Box 2040, Portland, OR, 972082040.
What is Lance J. Caddy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lance J. Caddy's area of specialization is Pain Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Lp2900X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104890011 to Lance J. Caddy?
The Centers for Medicare & Medicaid Services originally issued the 1104890011 to Lance J. Caddy on 2006-02-15.
As of what date was the information regarding Lance J. Caddy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lance J. Caddy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-09-09.