Katherine Rollins Black in Portland - Gastroenterology

Katherine Rollins Black - NPI 1801018122

Katherine Rollins Black is a Gastroenterology in Portland, Oregon. Katherine Rollins Black practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Katherine Rollins Black is 1801018122. The last update date is 2013-03-21.

Katherine Rollins Black's current location address is 1130 Nw 22nd Ave Ste 410, Portland, Oregon. You can contact this provider via phone number 5032297137 and fax number 5032410628. The mailing address for Katherine Rollins Black is 1130 Nw 22nd Ave Ste 410, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Katherine Rollins Black
Address 1130 Nw 22nd Ave Ste 410, Portland, Oregon
Phone Number 5032297137
Fax Number 5032410628
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1801018122
Provider Enumeration Date 2007-05-03
Last Updated Date 2013-03-21

Provider Mailing Address Detail

Address 1130 Nw 22nd Ave Ste 410
City Portland
State Oregon (OR)
Post Code 972102911
Phone Number 5032297137
Fax Number 5032410628

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No MD156824
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
500647193 OR --
MD156824 OR PROVIDER STATE LICENSE

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FAQs about Katherine Rollins Black

What is the unique 10-digit identification code issued to Katherine Rollins Black by the Centers for Medicare & Medicaid Services?

The Katherine Rollins Black has been assigned the NPI (National Provider Identifier) 1801018122 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Katherine Rollins Black's facilities are situated?

The facilities of Katherine Rollins Black are physically located at the following address: 1130 Nw 22Nd Ave Ste 410, Portland, OR, 972102911.

What is Katherine Rollins Black's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Katherine Rollins Black is Gastroenterology, and the taxonomy code that classifies this field of practice is 207Rg0100X.

On what date did the Centers for Medicare & Medicaid Services assign the 1801018122 to Katherine Rollins Black?

The Centers for Medicare & Medicaid Services assigned the 1801018122 to Katherine Rollins Black on 2007-05-03.

When was the information regarding Katherine Rollins Black most recently updated?

The details pertaining to the Katherine Rollins Black, including its address, specialty, and other relevant information, were last refreshed on 2013-03-21.

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