Alexandra Gately Cornell in Portland - Pediatric Pulmonology

Alexandra Gately Cornell - NPI 1164580486

Alexandra Gately Cornell is a Pediatric Pulmonology in Portland, Oregon. Alexandra Gately Cornell practices all healthcare services and medical treatments related to Pediatric Pulmonology. The NPI Number for Alexandra Gately Cornell is 1164580486. The last update date is 2013-03-15.

Alexandra Gately Cornell's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034945476. The mailing address for Alexandra Gately Cornell is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Alexandra Gately Cornell
Address 3181 Sw Sam Jackson Park Rd, Portland, Oregon
Phone Number 5034945476
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1164580486
Provider Enumeration Date 2006-12-06
Last Updated Date 2013-03-15

Provider Mailing Address Detail

Address 3181 Sw Sam Jackson Park Rd
City Portland
State Oregon (OR)
Post Code 972393011
Phone Number 5034945476
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Pulmonology
Taxonomy 2080P0214X
Licence No 15287
Definition:
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32000767 NH --

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FAQs about Alexandra Gately Cornell

What is the unique 10-digit identifier code issued to Alexandra Gately Cornell by the Centers for Medicare & Medicaid Services?

The Alexandra Gately Cornell has been assigned the NPI (National Provider Identifier) 1164580486 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Alexandra Gately Cornell is geographically located?

The Alexandra Gately Cornell is physically situated at the following location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.

What is Alexandra Gately Cornell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Alexandra Gately Cornell is Pediatric Pulmonology, and the taxonomy code that categorizes this field of expertise is 2080P0214X.

On what date did the Centers for Medicare & Medicaid Services issue the 1164580486 to Alexandra Gately Cornell?

The Alexandra Gately Cornell received its 1164580486 assignment from the Centers for Medicare & Medicaid Services on 2006-12-06.

As of what date was the information regarding Alexandra Gately Cornell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Alexandra Gately Cornell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-03-15.

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