Jared Adam Shipley in Portland - Critical Care Medicine
Jared Adam Shipley - NPI 1194933770
Jared Adam Shipley is a Critical Care Medicine in Portland, Oregon. Jared Adam Shipley practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Jared Adam Shipley is 1194933770. The last update date is 2021-11-23.
Jared Adam Shipley's current location address is 847 Ne 19th Ave, Portland, Oregon. You can contact this provider via phone number 5039632801 and fax number 5039632825. The mailing address for Jared Adam Shipley is 847 Ne 19th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jared Adam Shipley |
---|---|
Address | 847 Ne 19th Ave, Portland, Oregon |
Phone Number | 5039632801 |
Fax Number | 5039632825 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1194933770 |
---|---|
Provider Enumeration Date | 2007-05-18 |
Last Updated Date | 2021-11-23 |
Provider Mailing Address Detail
Address | 847 Ne 19th Ave |
---|---|
City | Portland |
State | Oregon (OR) |
Post Code | 972322684 |
Phone Number | 5039632801 |
Fax Number | 5039632825 |
Provider's Primary Taxonomy Detail
Speciality | Critical Care Medicine |
---|---|
Taxonomy | 207Rc0200X |
Licence No | MD154067 |
Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2017145 | WA | -- | |
500636829 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jared Adam Shipley?
The Jared Adam Shipley has been issued the NPI (National Provider Identifier) 1194933770 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jared Adam Shipley is located?
The Jared Adam Shipley is situated at the following address: 847 Ne 19Th Ave, Portland, OR, 972322684.
What is Jared Adam Shipley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jared Adam Shipley's area of specialization is Critical Care Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194933770 to Jared Adam Shipley?
The Jared Adam Shipley received its 1194933770 assignment from the Centers for Medicare & Medicaid Services on 2007-05-18.
When was the information pertaining to Jared Adam Shipley most recently updated or revised?
The details related to Jared Adam Shipley, including its address, specialty, and other relevant information, were last updated or revised on 2021-11-23.
NPI Number: 1508868852
Address: 853 Dunn Rd, Florissant, MO
NPI Number: 1033101738
Address: 15000 Broschart Rd, Rockville, MD
NPI Number: 1437143054
Address: 2840 6th Ave S, Lake Worth, FL