Jack P Schunk is a Pediatrics in Portland, Oregon. Jack P Schunk practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jack P Schunk is 1063418325. The last update date is 2007-07-08.
Jack P Schunk's current location address is 4307 Sw Idaho Dr, Portland, Oregon. You can contact this provider via phone number 5032469687. The mailing address for Jack P Schunk is 4307 Sw Idaho Dr, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack P Schunk |
|---|---|
| Address | 4307 Sw Idaho Dr, Portland, Oregon |
| Phone Number | 5032469687 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063418325 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4307 Sw Idaho Dr |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972213347 |
| Phone Number | 5032469687 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD13919 |
|
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 |
|---|---|---|---|
| 161158 | OR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jack P Schunk by the Centers for Medicare & Medicaid Services?
The Jack P Schunk has been issued the NPI (National Provider Identifier) 1063418325. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jack P Schunk is located?
The Jack P Schunk is situated at the following address: 4307 Sw Idaho Dr, Portland, OR, 972213347.
What is Jack P Schunk's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack P Schunk's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063418325 to Jack P Schunk?
The Jack P Schunk received its 1063418325 assignment from the Centers for Medicare & Medicaid Services on 2005-06-22.
When was the information regarding Jack P Schunk most recently updated?
The details pertaining to the Jack P Schunk, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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