Heather Conroy Selis in Portland - Adolescent Medicine
Heather Conroy Selis - NPI 1679734719
Heather Conroy Selis is a Adolescent Medicine in Portland, Oregon. Heather Conroy Selis practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Heather Conroy Selis is 1679734719. The last update date is 2012-02-27.
Heather Conroy Selis's current location address is 5050 Ne Hoyt St., Portland, Oregon. You can contact this provider via phone number 5032335393 and fax number 5036598984. The mailing address for Heather Conroy Selis is 5050 Ne Hoyt St., Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather Conroy Selis |
|---|---|
| Address | 5050 Ne Hoyt St., Portland, Oregon |
| Phone Number | 5032335393 |
| Fax Number | 5036598984 |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1679734719 |
|---|---|
| Provider Enumeration Date | 2008-06-20 |
| Last Updated Date | 2012-02-27 |
Provider Mailing Address Detail
| Address | 5050 Ne Hoyt St. |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972132984 |
| Phone Number | 5032335393 |
| Fax Number | 5036598984 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 93006586NZ |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500639814 | OR | -- |
Post Comment/ Review Below
What is the Heather Conroy Selis's unique identification number?
The Heather Conroy Selis has been assigned the NPI (National Provider Identifier) Number 1679734719 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Heather Conroy Selis located?
The Heather Conroy Selis is located at 5050 Ne Hoyt St., Portland, OR 972132984.
What is Heather Conroy Selis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Heather Conroy Selis's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679734719 to Heather Conroy Selis?
The Centers for Medicare & Medicaid Services originally issued the 1679734719 to Heather Conroy Selis on 2008-06-20.
As of what date was the information pertaining to Heather Conroy Selis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Heather Conroy Selis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-02-27.