Douglas Reed Grossnickle in Portland - Geriatric Medicine
Douglas Reed Grossnickle - NPI 1669418810
Douglas Reed Grossnickle is a Geriatric Medicine in Portland, Oregon. Douglas Reed Grossnickle practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Douglas Reed Grossnickle is 1669418810. The last update date is 2007-07-08.
Douglas Reed Grossnickle's current location address is 10113 Se Cleone Ct, Portland, Oregon. You can contact this provider via phone number 5037757407 and fax number 5037751547. The mailing address for Douglas Reed Grossnickle is 10113 Se Cleone Ct, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Reed Grossnickle |
|---|---|
| Address | 10113 Se Cleone Ct, Portland, Oregon |
| Phone Number | 5037757407 |
| Fax Number | 5037751547 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1669418810 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10113 Se Cleone Ct |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97266 |
| Phone Number | 5037757407 |
| Fax Number | 5037751547 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | MD13084 |
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Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 264119 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Douglas Reed Grossnickle by the Centers for Medicare & Medicaid Services?
The Douglas Reed Grossnickle has been assigned the NPI (National Provider Identifier) 1669418810 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Douglas Reed Grossnickle's facilities are situated?
The facilities of Douglas Reed Grossnickle are physically located at the following address: 10113 Se Cleone Ct, Portland, OR, 97266.
What is the Douglas Reed Grossnickle's area of specialization and corresponding taxonomy classification?
The Douglas Reed Grossnickle's specialty field is Geriatric Medicine, and it falls under the taxonomy code 207Rg0300X, which categorizes healthcare providers based on their specialties.
On what date did Douglas Reed Grossnickle receive its 1669418810 assignment from the Centers for Medicare & Medicaid Services?
The Douglas Reed Grossnickle was assigned its 1669418810 on 2006-06-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Douglas Reed Grossnickle most recently updated or refreshed?
The details pertaining to the Douglas Reed Grossnickle, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.