Danette Rai Elliott-Mullens in Bend - Adolescent Medicine
Danette Rai Elliott-Mullens - NPI 1417977042
Danette Rai Elliott-Mullens is a Adolescent Medicine in Bend, Oregon. Danette Rai Elliott-Mullens practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Danette Rai Elliott-Mullens is 1417977042. The last update date is 2017-04-17.
Danette Rai Elliott-Mullens's current location address is 2650 Ne Courtney Dr, Bend, Oregon. You can contact this provider via phone number 5416475200. The mailing address for Danette Rai Elliott-Mullens is 2650 Ne Courtney Dr, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Danette Rai Elliott-Mullens |
|---|---|
| Address | 2650 Ne Courtney Dr, Bend, Oregon |
| Phone Number | 5416475200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1417977042 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2017-04-17 |
Provider Mailing Address Detail
| Address | 2650 Ne Courtney Dr |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977017636 |
| Phone Number | 5416475200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | K9775 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 143444105 | TX | -- | |
| 8AJ420 | TX | BCBS INDIV PROV # | |
| 15402701 | TX | MEDICAID TPI BILLING NUMBER | |
| 500621599 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Danette Rai Elliott-Mullens?
The Danette Rai Elliott-Mullens has been issued the NPI (National Provider Identifier) 1417977042 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Danette Rai Elliott-Mullens's facilities are situated?
The facilities of Danette Rai Elliott-Mullens are physically located at the following address: 2650 Ne Courtney Dr, Bend, OR, 977017636.
What is Danette Rai Elliott-Mullens'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 Danette Rai Elliott-Mullens is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417977042 to Danette Rai Elliott-Mullens?
The Centers for Medicare & Medicaid Services assigned the 1417977042 to Danette Rai Elliott-Mullens on 2006-07-19.
When was the information pertaining to Danette Rai Elliott-Mullens most recently updated or revised?
The details related to Danette Rai Elliott-Mullens, including its address, specialty, and other relevant information, were last updated or revised on 2017-04-17.
NPI Number: 1013917590
Address: 1100 Halle Park Cir Ste 101, Collierville, TN