Staci L Kristin in Portland - Emergency Medicine

Staci L Kristin - NPI 1912921206

Staci L Kristin is a Emergency Medicine in Portland, Oregon. Staci L Kristin practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Staci L Kristin is 1912921206. The last update date is 2008-07-07.

Staci L Kristin's current location address is 6312 Sw Capitol Hwy # 502, Portland, Oregon. You can contact this provider via phone number 5034649034. The mailing address for Staci L Kristin is 6312 Sw Capitol Hwy # 502, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Staci L Kristin
Address 6312 Sw Capitol Hwy # 502, Portland, Oregon
Phone Number 5034649034
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1912921206
Provider Enumeration Date 2006-07-27
Last Updated Date 2008-07-07

Provider Mailing Address Detail

Address 6312 Sw Capitol Hwy # 502
City Portland
State Oregon (OR)
Post Code 972391938
Phone Number 5034649034
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No MD00044748
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
234456 OR --
8429110 WA --

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FAQs about Staci L Kristin

What is the unique identification code assigned to Staci L Kristin by the Centers for Medicare & Medicaid Services?

The Staci L Kristin has been issued the NPI (National Provider Identifier) 1912921206. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Staci L Kristin's facilities are situated?

The facilities of Staci L Kristin are physically located at the following address: 6312 Sw Capitol Hwy # 502, Portland, OR, 972391938.

What is Staci L Kristin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Staci L Kristin's specialized field of practice is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207P00000X.

On what date did the Staci L Kristin receive the assignment of its 1912921206 from the Centers for Medicare & Medicaid Services?

The Staci L Kristin was issued its 1912921206 by the Centers for Medicare & Medicaid Services on 2006-07-27.

When was the information related to Staci L Kristin most recently updated or refreshed?

The details pertaining to the Staci L Kristin, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-07.

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