Karen H Lickteig in Beaverton - Pediatrics

Karen H Lickteig - NPI 1659363331

Karen H Lickteig is a Pediatrics in Beaverton, Oregon. Karen H Lickteig practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Karen H Lickteig is 1659363331. The last update date is 2007-07-08.

Karen H Lickteig's current location address is 1960 Nw 167th Pl, Beaverton, Oregon. You can contact this provider via phone number 5035312594 and fax number 5034661399. The mailing address for Karen H Lickteig is 1960 Nw 167th Pl, Beaverton, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Karen H Lickteig
Address 1960 Nw 167th Pl, Beaverton, Oregon
Phone Number 5035312594
Fax Number 5034661399
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1659363331
Provider Enumeration Date 2005-08-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1960 Nw 167th Pl
City Beaverton
State Oregon (OR)
Post Code 970064803
Phone Number 5035312594
Fax Number 5034661399

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No MD21058
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Karen H Lickteig

What is the Karen H Lickteig's unique identification number?

The Karen H Lickteig has been assigned the NPI (National Provider Identifier) Number 1659363331 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Karen H Lickteig's facilities are situated?

The facilities of Karen H Lickteig are physically located at the following address: 1960 Nw 167Th Pl, Beaverton, OR, 970064803.

What is Karen H Lickteig's specialized field of practice, and what is the corresponding taxonomy classification code?

The Karen H Lickteig's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.

On what date did the Karen H Lickteig receive the assignment of its 1659363331 from the Centers for Medicare & Medicaid Services?

The Karen H Lickteig was issued its 1659363331 by the Centers for Medicare & Medicaid Services on 2005-08-18.

As of what date were the Karen H Lickteig's details last updated?

The information pertaining to the Karen H Lickteig, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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