Gorge Bone Density Testing in The Dalles - Infectious Disease

Gorge Bone Density Testing - NPI 1417005455

Gorge Bone Density Testing is a Infectious Disease in The Dalles, Oregon. Gorge Bone Density Testing practices all healthcare services and medical treatments related to Infectious Disease. The NPI Number for Gorge Bone Density Testing is 1417005455. The last update date is 2020-08-22.

Gorge Bone Density Testing's current location address is 1825 E 19th St, The Dalles, Oregon. You can contact this provider via phone number 5094931467 and fax number 5094933765. The mailing address for Gorge Bone Density Testing is 1825 E 19th St, The Dalles, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gorge Bone Density Testing
Address 1825 E 19th St, The Dalles, Oregon
Phone Number 5094931467
Fax Number 5094933765
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OPERATING
Authorized Official Name Nichol A Thomas
Credentials MD
Telephone Number 5094931467

NPI Number Detail

NPI Number 1417005455
Provider Enumeration Date 2007-01-08
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1825 E 19th St
City The Dalles
State Oregon (OR)
Post Code 970583365
Phone Number 5094931467
Fax Number 5094933765

Provider's Primary Taxonomy Detail

Speciality Infectious Disease
Taxonomy 207Ri0200X
Licence No MD17839
Definition:
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers whi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
K285402 OR PACIFIC SOURCE
64659 OR --
1088970 WA WASHINGTON MEDICAID

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FAQs about Gorge Bone Density Testing

What is the unique identifier code issued to Gorge Bone Density Testing by the Centers for Medicare & Medicaid Services?

The Gorge Bone Density Testing has been assigned the NPI (National Provider Identifier) 1417005455. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Gorge Bone Density Testing?

The Gorge Bone Density Testing is physically situated at 1825 E 19Th St, in the city of The Dalles, state of OR, with the postal code 970583365.

What is the Gorge Bone Density Testing's specialty and taxonomy code?

The Gorge Bone Density Testing's specialty is Infectious Disease, and the corresponding taxonomy code is 207Ri0200X.

On what date did the Gorge Bone Density Testing receive its 1417005455 assignment from the Centers for Medicare & Medicaid Services?

The Gorge Bone Density Testing was assigned its 1417005455 by the Centers for Medicare & Medicaid Services on 2007-01-08.

When was the information regarding Gorge Bone Density Testing, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gorge Bone Density Testing, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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