Mark Elbert Deffebach in Portland - Pulmonary Disease
Mark Elbert Deffebach - NPI 1164529939
Mark Elbert Deffebach is a Pulmonary Disease in Portland, Oregon. Mark Elbert Deffebach practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Mark Elbert Deffebach is 1164529939. The last update date is 2007-07-08.
Mark Elbert Deffebach's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034941620. The mailing address for Mark Elbert Deffebach is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Elbert Deffebach |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034941620 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164529939 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034941620 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pulmonary Disease |
|---|---|
| Taxonomy | 207Rp1001X |
| Licence No | MD22999 |
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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 |
|---|---|---|---|
| 287493 | OR | -- |
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What is the unique 10-digit identification code issued to Mark Elbert Deffebach by the Centers for Medicare & Medicaid Services?
The Mark Elbert Deffebach has been assigned the NPI (National Provider Identifier) 1164529939 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 address where Mark Elbert Deffebach is geographically located?
The Mark Elbert Deffebach is physically situated at the following location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.
What is the Mark Elbert Deffebach's area of specialization and corresponding taxonomy classification?
The Mark Elbert Deffebach's specialty field is Pulmonary Disease, and it falls under the taxonomy code 207Rp1001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164529939 to Mark Elbert Deffebach?
The Centers for Medicare & Medicaid Services originally issued the 1164529939 to Mark Elbert Deffebach on 2006-09-20.
When was the information pertaining to Mark Elbert Deffebach most recently updated or revised?
The details related to Mark Elbert Deffebach, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.