Tara Lyn Eagle in Portland - Critical Care Medicine
Tara Lyn Eagle - NPI 1023213436
Tara Lyn Eagle is a Critical Care Medicine in Portland, Oregon. Tara Lyn Eagle practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Tara Lyn Eagle is 1023213436. The last update date is 2018-11-06.
Tara Lyn Eagle's current location address is 2800 N. Vancouver Ave. Legacy Clinic Emanuel, Portland, Oregon. You can contact this provider via phone number 5034132901. The mailing address for Tara Lyn Eagle is 2800 N. Vancouver Ave. Legacy Clinic Emanuel, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Lyn Eagle |
|---|---|
| Address | 2800 N. Vancouver Ave. Legacy Clinic Emanuel, Portland, Oregon |
| Phone Number | 5034132901 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1023213436 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2018-11-06 |
Provider Mailing Address Detail
| Address | 2800 N. Vancouver Ave. Legacy Clinic Emanuel |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97277 |
| Phone Number | 5034132901 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | DO154327 |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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What is the unique identifier code issued to Tara Lyn Eagle by the Centers for Medicare & Medicaid Services (CMS)?
The Tara Lyn Eagle has been assigned the NPI (National Provider Identifier) 1023213436. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Tara Lyn Eagle is located?
The Tara Lyn Eagle is situated at the following address: 2800 N. Vancouver Ave. Legacy Clinic Emanuel, Portland, OR, 97277.
What is Tara Lyn Eagle'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 Tara Lyn Eagle is Critical Care Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Rc0200X.
When was the Tara Lyn Eagle's 1023213436 issued?
The Tara Lyn Eagle's 1023213436 was issued on 2007-06-15.
As of what date was the information regarding Tara Lyn Eagle, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tara Lyn Eagle, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-11-06.
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