Jimmy Dee Huebert in Tualatin - Sports Medicine
Jimmy Dee Huebert - NPI 1225050834
Jimmy Dee Huebert is a Sports Medicine in Tualatin, Oregon. Jimmy Dee Huebert practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jimmy Dee Huebert is 1225050834. The last update date is 2021-09-13.
Jimmy Dee Huebert's current location address is 7654 Sw Mohawk St Bldg K, Tualatin, Oregon. You can contact this provider via phone number 5036912000 and fax number 5039612001. The mailing address for Jimmy Dee Huebert is 7654 Sw Mohawk St Bldg K, Tualatin, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jimmy Dee Huebert |
|---|---|
| Address | 7654 Sw Mohawk St Bldg K, Tualatin, Oregon |
| Phone Number | 5036912000 |
| Fax Number | 5039612001 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225050834 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2021-09-13 |
Provider Mailing Address Detail
| Address | 7654 Sw Mohawk St Bldg K |
|---|---|
| City | Tualatin |
| State | Oregon (OR) |
| Post Code | 970628119 |
| Phone Number | 5036912000 |
| Fax Number | 5039612001 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Rs0010X |
| Licence No | MD23362 |
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Definition: An internist 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 have knowledge and exp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100187860A | OK | -- | |
| 1119809 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jimmy Dee Huebert by the Centers for Medicare & Medicaid Services?
The Jimmy Dee Huebert has been assigned the NPI (National Provider Identifier) 1225050834. 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 share the complete physical location address where Jimmy Dee Huebert's facilities are situated?
The facilities of Jimmy Dee Huebert are physically located at the following address: 7654 Sw Mohawk St Bldg K, Tualatin, OR, 970628119.
What is the area of specialization for Jimmy Dee Huebert, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jimmy Dee Huebert is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Rs0010X.
On what date did Jimmy Dee Huebert receive its 1225050834 assignment from the Centers for Medicare & Medicaid Services?
The Jimmy Dee Huebert was assigned its 1225050834 on 2006-07-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jimmy Dee Huebert most recently updated or revised?
The details related to Jimmy Dee Huebert, including its address, specialty, and other relevant information, were last updated or revised on 2021-09-13.