Laura Marie Ibsen in Portland - Pediatric Critical Care Medicine

Laura Marie Ibsen - NPI 1821003336

Laura Marie Ibsen is a Pediatric Critical Care Medicine in Portland, Oregon. Laura Marie Ibsen practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Laura Marie Ibsen is 1821003336. The last update date is 2007-07-13.

Laura Marie Ibsen's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034944608. The mailing address for Laura Marie Ibsen is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Laura Marie Ibsen
Address 3181 Sw Sam Jackson Park Rd, Portland, Oregon
Phone Number 5034944608
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1821003336
Provider Enumeration Date 2006-07-31
Last Updated Date 2007-07-13

Provider Mailing Address Detail

Address 3181 Sw Sam Jackson Park Rd
City Portland
State Oregon (OR)
Post Code 972393011
Phone Number 5034944608
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Critical Care Medicine
Taxonomy 2080P0203X
Licence No MD21171
Definition:
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
159050 OR --

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FAQs about Laura Marie Ibsen

What is the unique 10-digit identifier code assigned to Laura Marie Ibsen by the Centers for Medicare & Medicaid Services?

The Laura Marie Ibsen has been issued the NPI (National Provider Identifier) 1821003336 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Laura Marie Ibsen's facilities are situated?

The facilities of Laura Marie Ibsen are physically located at the following address: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.

What is Laura Marie Ibsen's specialized field of practice, and what is the corresponding taxonomy classification code?

The Laura Marie Ibsen's area of specialization is Pediatric Critical Care Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080P0203X.

When did the Laura Marie Ibsen receive its 1821003336?

The Laura Marie Ibsen was issued its 1821003336 on 2006-07-31, which is the date when the organization was assigned this unique identifier.

As of what date were the Laura Marie Ibsen's details last updated?

The information pertaining to the Laura Marie Ibsen, including its address, specialty, and other details, was most recently updated on 2007-07-13.

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