Keith Phillip Cross in Portland - Internal Medicine
Keith Phillip Cross - NPI 1528105194
Keith Phillip Cross is a Internal Medicine in Portland, Oregon. Keith Phillip Cross practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Keith Phillip Cross is 1528105194. The last update date is 2023-03-15.
Keith Phillip Cross's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034947551 and fax number 5034944997. The mailing address for Keith Phillip Cross is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Phillip Cross |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034947551 |
| Fax Number | 5034944997 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1528105194 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2023-03-15 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034947551 |
| Fax Number | 5034944997 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD214291 |
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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 |
|---|---|---|---|
| 200882960 | IN | -- | |
| 7100025500 | KY | -- | |
| 3822786 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Keith Phillip Cross?
The Keith Phillip Cross has been issued the NPI (National Provider Identifier) 1528105194 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Keith Phillip Cross's facilities are situated?
The facilities of Keith Phillip Cross are physically located at the following address: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.
What is the Keith Phillip Cross's specialty and taxonomy code?
The Keith Phillip Cross's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date was the 1528105194 assigned to Keith Phillip Cross?
The Keith Phillip Cross was issued its 1528105194 on 2007-01-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Keith Phillip Cross's information last updated?
The Keith Phillip Cross's information was last updated on 2023-03-15.
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