Samuel J Fellin in Tigard - Internal Medicine
Samuel J Fellin - NPI 1265463996
Samuel J Fellin is a Internal Medicine in Tigard, Oregon. Samuel J Fellin practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Samuel J Fellin is 1265463996. The last update date is 2020-10-15.
Samuel J Fellin's current location address is 12442 Sw Scholls Ferry Rd, Tigard, Oregon. You can contact this provider via phone number 5032169200 and fax number 5032126922. The mailing address for Samuel J Fellin is 12442 Sw Scholls Ferry Rd, Tigard, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel J Fellin |
|---|---|
| Address | 12442 Sw Scholls Ferry Rd, Tigard, Oregon |
| Phone Number | 5032169200 |
| Fax Number | 5032126922 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1265463996 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2020-10-15 |
Provider Mailing Address Detail
| Address | 12442 Sw Scholls Ferry Rd |
|---|---|
| City | Tigard |
| State | Oregon (OR) |
| Post Code | 972233396 |
| Phone Number | 5032169200 |
| Fax Number | 5032126922 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | DO16616 |
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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 |
|---|---|---|---|
| 110101988 | OR | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Samuel J Fellin by the Centers for Medicare & Medicaid Services?
The Samuel J Fellin has been assigned the NPI (National Provider Identifier) 1265463996 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 Samuel J Fellin?
The Samuel J Fellin is situated at 12442 Sw Scholls Ferry Rd, in the city of Tigard, state of OR, with the zip code 972233396.
What is Samuel J Fellin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Samuel J Fellin is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date was the 1265463996 assigned to Samuel J Fellin?
The Samuel J Fellin was issued its 1265463996 on 2006-07-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Samuel J Fellin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Samuel J Fellin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-10-15.
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