Carol S Federiuk in Portland - Sports Medicine
Carol S Federiuk - NPI 1447209028
Carol S Federiuk is a Sports Medicine in Portland, Oregon. Carol S Federiuk practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Carol S Federiuk is 1447209028. The last update date is 2017-02-04.
Carol S Federiuk's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034181709. The mailing address for Carol S Federiuk is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol S Federiuk |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034181709 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1447209028 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2017-02-04 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034181709 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 16560 |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 287970 | OR | -- |
Post Comment/ Review Below
What is the Carol S Federiuk's 1447209028?
The Carol S Federiuk's NPI (National Provider Identifier) Number is 1447209028. 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 Carol S Federiuk is geographically located?
The Carol S Federiuk is physically situated at the following location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.
What is Carol S Federiuk's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carol S Federiuk's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qs0010X.
On what date did the Carol S Federiuk receive the assignment of its 1447209028 from the Centers for Medicare & Medicaid Services?
The Carol S Federiuk was issued its 1447209028 by the Centers for Medicare & Medicaid Services on 2006-05-09.
When was the information regarding Carol S Federiuk most recently updated?
The details pertaining to the Carol S Federiuk, including its address, specialty, and other relevant information, were last refreshed on 2017-02-04.
NPI Number: 1376546390
Address: 15 S Main St Ste 250, Jamestown, NY
NPI Number: 1194728014
Address: 6622 Southpoint Dr S, Jacksonville, FL
NPI Number: 1255334173
Address: N74 W12501 Leatherwood Ct, Menomonee Falls, WI