Randy Lee Ellerbrook in Portland - Internal Medicine
Randy Lee Ellerbrook - NPI 1063584217
Randy Lee Ellerbrook is a Internal Medicine in Portland, Oregon. Randy Lee Ellerbrook practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Randy Lee Ellerbrook is 1063584217. The last update date is 2008-05-27.
Randy Lee Ellerbrook's current location address is 9155 Sw Barnes Rd, Portland, Oregon. You can contact this provider via phone number 5034453235 and fax number 5037902293. The mailing address for Randy Lee Ellerbrook is 9155 Sw Barnes Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy Lee Ellerbrook |
|---|---|
| Address | 9155 Sw Barnes Rd, Portland, Oregon |
| Phone Number | 5034453235 |
| Fax Number | 5037902293 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063584217 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2008-05-27 |
Provider Mailing Address Detail
| Address | 9155 Sw Barnes Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972256625 |
| Phone Number | 5034453235 |
| Fax Number | 5037902293 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD08564 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55715 | OR | -- | |
| 110104202 | OR | RAILROAD MEDICARE/PALMETT | |
| 3335013 | OR | REGENCE BLUE CROSS OF OR |
Post Comment/ Review Below
What is the unique provider identifier assigned to Randy Lee Ellerbrook?
The Randy Lee Ellerbrook has been issued the NPI (National Provider Identifier) 1063584217 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Randy Lee Ellerbrook?
The Randy Lee Ellerbrook is physically situated at 9155 Sw Barnes Rd, in the city of Portland, state of OR, with the postal code 972256625.
What is the Randy Lee Ellerbrook's area of specialization and corresponding taxonomy classification?
The Randy Lee Ellerbrook's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
When did Randy Lee Ellerbrook receive its 1063584217 assignment?
The Randy Lee Ellerbrook was assigned its 1063584217 on 2006-11-14, which is the date when this unique identifier was issued to the organization.
When was the information regarding Randy Lee Ellerbrook, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Randy Lee Ellerbrook, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-27.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC