George Wallace Johansen in Eugene - Otolaryngology
George Wallace Johansen - NPI 1639145030
George Wallace Johansen is a Otolaryngology in Eugene, Oregon. George Wallace Johansen practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for George Wallace Johansen is 1639145030. The last update date is 2008-12-16.
George Wallace Johansen's current location address is 1200 Hilyard St, Eugene, Oregon. You can contact this provider via phone number 5416851755. The mailing address for George Wallace Johansen is 1200 Hilyard St, Eugene, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Wallace Johansen |
|---|---|
| Address | 1200 Hilyard St, Eugene, Oregon |
| Phone Number | 5416851755 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.M. |
NPI Number Detail
| NPI Number | 1639145030 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2008-12-16 |
Provider Mailing Address Detail
| Address | 1200 Hilyard St |
|---|---|
| City | Eugene |
| State | Oregon (OR) |
| Post Code | 974018122 |
| Phone Number | 5416851755 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | MD06490 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 242016 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to George Wallace Johansen by the Centers for Medicare & Medicaid Services?
The George Wallace Johansen has been assigned the NPI (National Provider Identifier) 1639145030 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where George Wallace Johansen is physically located?
The George Wallace Johansen is physically situated at the following address: 1200 Hilyard St, Eugene, OR, 974018122.
What is George Wallace Johansen's area of expertise and its corresponding taxonomy classification?
The George Wallace Johansen's field of specialization is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their areas of practice.
On what date did George Wallace Johansen receive its 1639145030 assignment from the Centers for Medicare & Medicaid Services?
The George Wallace Johansen was assigned its 1639145030 on 2006-02-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the George Wallace Johansen's information last updated?
The George Wallace Johansen's information was last updated on 2008-12-16.