Michael Flynn Bonazzola in Portland - Internal Medicine
Michael Flynn Bonazzola - NPI 1457366965
Michael Flynn Bonazzola is a Internal Medicine in Portland, Oregon. Michael Flynn Bonazzola practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Michael Flynn Bonazzola is 1457366965. The last update date is 2007-07-13.
Michael Flynn Bonazzola's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034182070. The mailing address for Michael Flynn Bonazzola is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Flynn Bonazzola |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034182070 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457366965 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034182070 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD11860 |
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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 |
|---|---|---|---|
| 243994 | OR | -- | |
| 8498701 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael Flynn Bonazzola by the Centers for Medicare & Medicaid Services?
The Michael Flynn Bonazzola has been issued the NPI (National Provider Identifier) 1457366965 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Michael Flynn Bonazzola's facilities are situated?
The facilities of Michael Flynn Bonazzola are physically located at the following address: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.
What is the area of specialization for Michael Flynn Bonazzola, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Flynn Bonazzola is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457366965 to Michael Flynn Bonazzola?
The Centers for Medicare & Medicaid Services assigned the 1457366965 to Michael Flynn Bonazzola on 2006-07-31.
When was the information regarding Michael Flynn Bonazzola most recently updated?
The details pertaining to the Michael Flynn Bonazzola, including its address, specialty, and other relevant information, were last refreshed on 2007-07-13.