Keith Richard De Young in Enterprise - Family Medicine

Keith Richard De Young - NPI 1083829402

Keith Richard De Young is a Family Medicine in Enterprise, Oregon. Keith Richard De Young practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Keith Richard De Young is 1083829402. The last update date is 2016-08-26.

Keith Richard De Young's current location address is 603 Medical Parkway, Enterprise, Oregon. You can contact this provider via phone number 5414264502 and fax number 5414266403. The mailing address for Keith Richard De Young is 603 Medical Parkway, Enterprise, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith Richard De Young
Address 603 Medical Parkway, Enterprise, Oregon
Phone Number 5414264502
Fax Number 5414266403
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1083829402
Provider Enumeration Date 2007-05-10
Last Updated Date 2016-08-26

Provider Mailing Address Detail

Address 603 Medical Parkway
City Enterprise
State Oregon (OR)
Post Code 978281168
Phone Number 5414264502
Fax Number 5414266403

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD28538
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
383864 OR MEDICARE RHC

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FAQs about Keith Richard De Young

What is the unique 10-digit identification code issued to Keith Richard De Young by the Centers for Medicare & Medicaid Services?

The Keith Richard De Young has been assigned the NPI (National Provider Identifier) 1083829402 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Keith Richard De Young's facilities are situated?

The facilities of Keith Richard De Young are physically located at the following address: 603 Medical Parkway, Enterprise, OR, 978281168.

What is the Keith Richard De Young's specialty and taxonomy code?

The Keith Richard De Young's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did Keith Richard De Young receive its 1083829402 assignment from the Centers for Medicare & Medicaid Services?

The Keith Richard De Young was assigned its 1083829402 on 2007-05-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Keith Richard De Young most recently updated?

The details pertaining to the Keith Richard De Young, including its address, specialty, and other relevant information, were last refreshed on 2016-08-26.

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