Michael Booker in Portland - Family Medicine

Michael Booker - NPI 1588671820

Michael Booker is a Family Medicine in Portland, Oregon. Michael Booker practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael Booker is 1588671820. The last update date is 2007-12-18.

Michael Booker's current location address is 2647 Ne 33rd Ave, Portland, Oregon. You can contact this provider via phone number 5032880083 and fax number 5032887843. The mailing address for Michael Booker is 2647 Ne 33rd Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Booker
Address 2647 Ne 33rd Ave, Portland, Oregon
Phone Number 5032880083
Fax Number 5032887843
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1588671820
Provider Enumeration Date 2006-08-01
Last Updated Date 2007-12-18

Provider Mailing Address Detail

Address 2647 Ne 33rd Ave
City Portland
State Oregon (OR)
Post Code 972123647
Phone Number 5032880083
Fax Number 5032887843

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD16133
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
28907 OR --
48194011 OR BLUE CROSS BLUE SHIELD

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FAQs about Michael Booker

What is the unique identification code assigned to Michael Booker by the Centers for Medicare & Medicaid Services?

The Michael Booker has been issued the NPI (National Provider Identifier) 1588671820. 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 address where Michael Booker is physically located?

The Michael Booker is situated at the following address: 2647 Ne 33Rd Ave, Portland, OR 972123647.

What is the Michael Booker's specialty and taxonomy code?

The Michael Booker's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did Michael Booker receive its 1588671820 assignment from the Centers for Medicare & Medicaid Services?

The Michael Booker was assigned its 1588671820 on 2006-08-01, 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 Michael Booker most recently updated?

The details pertaining to the Michael Booker, including its address, specialty, and other relevant information, were last refreshed on 2007-12-18.

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