David N Westerdahl in Portland - Sports Medicine

David N Westerdahl - NPI 1356305023

David N Westerdahl is a Sports Medicine in Portland, Oregon. David N Westerdahl practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for David N Westerdahl is 1356305023. The last update date is 2020-10-24.

David N Westerdahl's current location address is 12672 Nw Barnes Rd Ste 100, Portland, Oregon. You can contact this provider via phone number 5037476376 and fax number 5035308406. The mailing address for David N Westerdahl is 12672 Nw Barnes Rd Ste 100, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name David N Westerdahl
Address 12672 Nw Barnes Rd Ste 100, Portland, Oregon
Phone Number 5037476376
Fax Number 5035308406
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1356305023
Provider Enumeration Date 2006-04-12
Last Updated Date 2020-10-24

Provider Mailing Address Detail

Address 12672 Nw Barnes Rd Ste 100
City Portland
State Oregon (OR)
Post Code 972296191
Phone Number 5037476376
Fax Number 5035308406

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No ME0084094
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
270794200 FL --

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FAQs about David N Westerdahl

What is the unique identification code assigned to David N Westerdahl by the Centers for Medicare & Medicaid Services?

The David N Westerdahl has been issued the NPI (National Provider Identifier) 1356305023. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where David N Westerdahl's facilities are geographically located?

The facilities of David N Westerdahl are physically situated at the following location: 12672 Nw Barnes Rd Ste 100, Portland, OR, 972296191.

What is David N Westerdahl's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for David N Westerdahl is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qs0010X.

On what date did David N Westerdahl receive its 1356305023 assignment from the Centers for Medicare & Medicaid Services?

The David N Westerdahl was assigned its 1356305023 on 2006-04-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to David N Westerdahl most recently updated or refreshed?

The details pertaining to the David N Westerdahl, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-10-24.

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