Ryan Carl Petering in Portland - Sports Medicine
Ryan Carl Petering - NPI 1174793301
Ryan Carl Petering is a Sports Medicine in Portland, Oregon. Ryan Carl Petering practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Ryan Carl Petering is 1174793301. The last update date is 2010-09-03.
Ryan Carl Petering's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034949992. The mailing address for Ryan Carl Petering is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan Carl Petering |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034949992 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1174793301 |
|---|---|
| Provider Enumeration Date | 2008-03-04 |
| Last Updated Date | 2010-09-03 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034949992 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | MD29263 |
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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 |
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What is the unique 10-digit identifier code issued to Ryan Carl Petering by the Centers for Medicare & Medicaid Services?
The Ryan Carl Petering has been assigned the NPI (National Provider Identifier) 1174793301 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Ryan Carl Petering located?
The Ryan Carl Petering is located at 3181 Sw Sam Jackson Park Rd, Portland, OR 972393011.
What is the area of specialization for Ryan Carl Petering, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ryan Carl Petering is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qs0010X.
On what date did the Ryan Carl Petering receive its 1174793301 assignment from the Centers for Medicare & Medicaid Services?
The Ryan Carl Petering was assigned its 1174793301 by the Centers for Medicare & Medicaid Services on 2008-03-04.
When was the Ryan Carl Petering's information last updated?
The Ryan Carl Petering's information was last updated on 2010-09-03.