Mark Kenneth Wax in Portland - Otolaryngology
Mark Kenneth Wax - NPI 1912912429
Mark Kenneth Wax is a Otolaryngology in Portland, Oregon. Mark Kenneth Wax practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Mark Kenneth Wax is 1912912429. The last update date is 2007-07-17.
Mark Kenneth Wax's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034945674. The mailing address for Mark Kenneth Wax is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Kenneth Wax |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034945674 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912912429 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-17 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034945674 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | MD21318 |
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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 |
|---|---|---|---|
| 276773 | OR | -- |
Post Comment/ Review Below
What is the Mark Kenneth Wax's 1912912429?
The Mark Kenneth Wax's NPI (National Provider Identifier) Number is 1912912429. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark Kenneth Wax located?
The Mark Kenneth Wax is located at 3181 Sw Sam Jackson Park Rd, Portland, OR 972393011.
What is the Mark Kenneth Wax's area of specialization and corresponding taxonomy classification?
The Mark Kenneth Wax's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1912912429 to Mark Kenneth Wax?
The Centers for Medicare & Medicaid Services assigned the 1912912429 to Mark Kenneth Wax on 2006-07-31.
As of what date were the details pertaining to Mark Kenneth Wax last refreshed?
The information related to the Mark Kenneth Wax, including its address, specialty, and other relevant details, was last updated on 2007-07-17.
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