Charles Justin Petit in Portland - Orthopaedic Surgery

Charles Justin Petit - NPI 1356332720

Charles Justin Petit is a Orthopaedic Surgery in Portland, Oregon. Charles Justin Petit practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Charles Justin Petit is 1356332720. The last update date is 2015-10-02.

Charles Justin Petit's current location address is 1515 Nw 18th Ave, Portland, Oregon. You can contact this provider via phone number 5032248399 and fax number 5032245661. The mailing address for Charles Justin Petit is 1515 Nw 18th Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Justin Petit
Address 1515 Nw 18th Ave, Portland, Oregon
Phone Number 5032248399
Fax Number 5032245661
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1356332720
Provider Enumeration Date 2005-11-03
Last Updated Date 2015-10-02

Provider Mailing Address Detail

Address 1515 Nw 18th Ave
City Portland
State Oregon (OR)
Post Code 972092516
Phone Number 5032248399
Fax Number 5032245661

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 46345
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

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FAQs about Charles Justin Petit

What is the Charles Justin Petit's 1356332720?

The Charles Justin Petit's NPI (National Provider Identifier) Number is 1356332720. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Charles Justin Petit is geographically located?

The Charles Justin Petit is physically situated at the following location: 1515 Nw 18Th Ave, Portland, OR, 972092516.

What is Charles Justin Petit's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Charles Justin Petit's specialized field of practice is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 207X00000X.

On what date did the Charles Justin Petit receive its 1356332720 assignment from the Centers for Medicare & Medicaid Services?

The Charles Justin Petit was assigned its 1356332720 by the Centers for Medicare & Medicaid Services on 2005-11-03.

As of what date was the information regarding Charles Justin Petit, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Charles Justin Petit, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-10-02.

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