Jennifer C. Edman in Portland - Family Medicine
Jennifer C. Edman - NPI 1457379505
Jennifer C. Edman is a Family Medicine in Portland, Oregon. Jennifer C. Edman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jennifer C. Edman is 1457379505. The last update date is 2009-07-23.
Jennifer C. Edman's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034948665 and fax number 5034942958. The mailing address for Jennifer C. Edman is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer C. Edman |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034948665 |
| Fax Number | 5034942958 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1457379505 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2009-07-23 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034948665 |
| Fax Number | 5034942958 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A95342 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A953420 | CA | -- |
Post Comment/ Review Below
What is the Jennifer C. Edman's unique identification number?
The Jennifer C. Edman has been assigned the NPI (National Provider Identifier) Number 1457379505 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jennifer C. Edman's facilities are geographically located?
The facilities of Jennifer C. Edman are physically situated at the following location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.
What is the Jennifer C. Edman's area of specialization and corresponding taxonomy classification?
The Jennifer C. Edman's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Jennifer C. Edman receive its 1457379505 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer C. Edman was assigned its 1457379505 by the Centers for Medicare & Medicaid Services on 2006-07-17.
When was the Jennifer C. Edman's information last updated?
The Jennifer C. Edman's information was last updated on 2009-07-23.