Mary A Egsieker is a Pediatrics in Gresham, Oregon. Mary A Egsieker practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary A Egsieker is 1336141720. The last update date is 2014-03-04.
Mary A Egsieker's current location address is 24988 Se Stark St, Gresham, Oregon. You can contact this provider via phone number 5036678878 and fax number 5036670310. The mailing address for Mary A Egsieker is 24988 Se Stark St, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary A Egsieker |
|---|---|
| Address | 24988 Se Stark St, Gresham, Oregon |
| Phone Number | 5036678878 |
| Fax Number | 5036670310 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1336141720 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2014-03-04 |
Provider Mailing Address Detail
| Address | 24988 Se Stark St |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970308322 |
| Phone Number | 5036678878 |
| Fax Number | 5036670310 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD24342 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 227365 | OR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mary A Egsieker by the Centers for Medicare & Medicaid Services?
The Mary A Egsieker has been issued the NPI (National Provider Identifier) 1336141720. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary A Egsieker?
The Mary A Egsieker is situated at 24988 Se Stark St, in the city of Gresham, state of OR, with the zip code 970308322.
What is Mary A Egsieker'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 Mary A Egsieker is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
When did the Mary A Egsieker receive its 1336141720?
The Mary A Egsieker was issued its 1336141720 on 2005-08-15, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Mary A Egsieker most recently updated or revised?
The details related to Mary A Egsieker, including its address, specialty, and other relevant information, were last updated or revised on 2014-03-04.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY