Larry L Moffett in Portland - Family Medicine
Larry L Moffett - NPI 1194789453
Larry L Moffett is a Family Medicine in Portland, Oregon. Larry L Moffett practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Larry L Moffett is 1194789453. The last update date is 2010-03-17.
Larry L Moffett's current location address is Po Box 92900, Portland, Oregon. You can contact this provider via phone number 5036590880 and fax number 5035137425. The mailing address for Larry L Moffett is Po Box 92900, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry L Moffett |
|---|---|
| Address | Po Box 92900, Portland, Oregon |
| Phone Number | 5036590880 |
| Fax Number | 5035137425 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1194789453 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2010-03-17 |
Provider Mailing Address Detail
| Address | Po Box 92900 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972920900 |
| Phone Number | 5036590880 |
| Fax Number | 5035137425 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | DO15179 |
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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 |
|---|---|---|---|
| 202942 | WA | WA LABOR & INDUSTRIES | |
| 159723 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Larry L Moffett by the Centers for Medicare & Medicaid Services?
The Larry L Moffett has been assigned the NPI (National Provider Identifier) 1194789453. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Larry L Moffett is located?
The Larry L Moffett is situated at the following address: Po Box 92900, Portland, OR, 972920900.
What is the area of specialization for Larry L Moffett, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Larry L Moffett is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
When did the Larry L Moffett receive its 1194789453?
The Larry L Moffett was issued its 1194789453 on 2006-04-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Larry L Moffett last refreshed?
The information related to the Larry L Moffett, including its address, specialty, and other relevant details, was last updated on 2010-03-17.
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