Jared Adam Shipley in Portland - Pulmonary Disease
Jared Adam Shipley - NPI 1194933770
Jared Adam Shipley is a Pulmonary Disease in Portland, Oregon. Jared Adam Shipley practices all healthcare services and medical treatments related to Pulmonary Disease. 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 | Pulmonary Disease |
|---|---|
| Taxonomy | 207Rp1001X |
| Licence No | MD154067 |
|
Definition: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the |
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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 Pulmonary Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rp1001X.
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.
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