Roberts Street Clinic, P.C. in Gresham - Family Medicine
Roberts Street Clinic, P.C. - NPI 1003024423
Roberts Street Clinic, P.C. is a Family Medicine in Gresham, Oregon. Roberts Street Clinic, P.C. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Roberts Street Clinic, P.C. is 1003024423. The last update date is 2007-10-10.
Roberts Street Clinic, P.C.'s current location address is 400 Ne Roberts Ave, Gresham, Oregon. You can contact this provider via phone number 5036693066 and fax number 5036656404. The mailing address for Roberts Street Clinic, P.C. is 400 Ne Roberts Ave, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Roberts Street Clinic, P.C. |
|---|---|
| Address | 400 Ne Roberts Ave, Gresham, Oregon |
| Phone Number | 5036693066 |
| Fax Number | 5036656404 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC MAN |
|---|---|
| Authorized Official Name | Mankey Linda |
| Telephone Number | 5036693066 |
NPI Number Detail
| NPI Number | 1003024423 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-10-10 |
Provider Mailing Address Detail
| Address | 400 Ne Roberts Ave |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970307464 |
| Phone Number | 5036693066 |
| Fax Number | 5036656404 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | DO15150 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 205823 | OR | -- | |
| 287658 | OR | -- | |
| 29582 | OR | -- | |
| 79546 | OR | -- | |
| 287698 | OR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Roberts Street Clinic, P.C. by the Centers for Medicare & Medicaid Services?
The Roberts Street Clinic, P.C. has been issued the NPI (National Provider Identifier) 1003024423. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Roberts Street Clinic, P.C. is physically located?
The Roberts Street Clinic, P.C. is situated at the following address: 400 Ne Roberts Ave, Gresham, OR 970307464.
What is Roberts Street Clinic, P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Roberts Street Clinic, P.C. is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003024423 to Roberts Street Clinic, P.C.?
The Centers for Medicare & Medicaid Services assigned the 1003024423 to Roberts Street Clinic, P.C. on 2007-05-18.
As of what date were the details pertaining to Roberts Street Clinic, P.C. last refreshed?
The information related to the Roberts Street Clinic, P.C., including its address, specialty, and other relevant details, was last updated on 2007-10-10.
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