Gregg O Coodley in Portland - Internal Medicine
Gregg O Coodley - NPI 1871593491
Gregg O Coodley is a Internal Medicine in Portland, Oregon. Gregg O Coodley practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Gregg O Coodley is 1871593491. The last update date is 2007-10-16.
Gregg O Coodley's current location address is 2400 Sw Vermont St, Portland, Oregon. You can contact this provider via phone number 5034520915 and fax number 5037689232. The mailing address for Gregg O Coodley is 2400 Sw Vermont St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregg O Coodley |
|---|---|
| Address | 2400 Sw Vermont St, Portland, Oregon |
| Phone Number | 5034520915 |
| Fax Number | 5037689232 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1871593491 |
|---|---|
| Provider Enumeration Date | 2005-07-26 |
| Last Updated Date | 2007-10-16 |
Provider Mailing Address Detail
| Address | 2400 Sw Vermont St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972191940 |
| Phone Number | 5034520915 |
| Fax Number | 5037689232 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD16827 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11812 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gregg O Coodley by the Centers for Medicare & Medicaid Services?
The Gregg O Coodley has been assigned the NPI (National Provider Identifier) 1871593491 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Gregg O Coodley?
The Gregg O Coodley is situated at 2400 Sw Vermont St, in the city of Portland, state of OR, with the zip code 972191940.
What is Gregg O Coodley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gregg O Coodley is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Gregg O Coodley receive its 1871593491 assignment from the Centers for Medicare & Medicaid Services?
The Gregg O Coodley was assigned its 1871593491 by the Centers for Medicare & Medicaid Services on 2005-07-26.
When was the Gregg O Coodley's information last updated?
The Gregg O Coodley's information was last updated on 2007-10-16.
NPI Number: 1881699460
Address: 8080 N Central Expy, Dallas, TX