Douglas Bruce Mckeag in Portland - Sports Medicine
Douglas Bruce Mckeag - NPI 1871558353
Douglas Bruce Mckeag is a Sports Medicine in Portland, Oregon. Douglas Bruce Mckeag practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Douglas Bruce Mckeag is 1871558353. The last update date is 2014-07-25.
Douglas Bruce Mckeag's current location address is 4411 Sw Vermont St, Portland, Oregon. You can contact this provider via phone number 5034949992. The mailing address for Douglas Bruce Mckeag is 4411 Sw Vermont St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Bruce Mckeag |
|---|---|
| Address | 4411 Sw Vermont St, Portland, Oregon |
| Phone Number | 5034949992 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD, MS |
NPI Number Detail
| NPI Number | 1871558353 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2014-07-25 |
Provider Mailing Address Detail
| Address | 4411 Sw Vermont St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972191020 |
| Phone Number | 5034949992 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | MD167303 |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200259190 | IN | -- | |
| P00800740 | IN | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas Bruce Mckeag by the Centers for Medicare & Medicaid Services (CMS)?
The Douglas Bruce Mckeag has been assigned the NPI (National Provider Identifier) 1871558353. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Douglas Bruce Mckeag located?
The Douglas Bruce Mckeag is located at 4411 Sw Vermont St, Portland, OR 972191020.
What is Douglas Bruce Mckeag's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Douglas Bruce Mckeag is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871558353 to Douglas Bruce Mckeag?
The Centers for Medicare & Medicaid Services originally issued the 1871558353 to Douglas Bruce Mckeag on 2006-04-19.
As of what date were the Douglas Bruce Mckeag's details last updated?
The information pertaining to the Douglas Bruce Mckeag, including its address, specialty, and other details, was most recently updated on 2014-07-25.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC