Kartini Clinic Pc in Portland - Adolescent Medicine
Kartini Clinic Pc - NPI 1134205198
Kartini Clinic Pc is a Adolescent Medicine in Portland, Oregon. Kartini Clinic Pc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Kartini Clinic Pc is 1134205198. The last update date is 2022-07-21.
Kartini Clinic Pc's current location address is 3530 N Vancouver Ave Ste 400, Portland, Oregon. You can contact this provider via phone number 5032498851 and fax number 5032823409. The mailing address for Kartini Clinic Pc is 3530 N Vancouver Ave Ste 400, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kartini Clinic Pc |
|---|---|
| Address | 3530 N Vancouver Ave Ste 400, Portland, Oregon |
| Phone Number | 5032498851 |
| Fax Number | 5032823409 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Greene Shanna |
| Telephone Number | 5032498851 |
NPI Number Detail
| NPI Number | 1134205198 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 3530 N Vancouver Ave Ste 400 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972271798 |
| Phone Number | 5032498851 |
| Fax Number | 5032823409 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
|
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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What is the unique identifier code issued to Kartini Clinic Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Kartini Clinic Pc has been assigned the NPI (National Provider Identifier) 1134205198. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Kartini Clinic Pc located?
The Kartini Clinic Pc is located at 3530 N Vancouver Ave Ste 400, Portland, OR 972271798.
What is the area of specialization for Kartini Clinic Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kartini Clinic Pc is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.
On what date did the Kartini Clinic Pc receive its 1134205198 assignment from the Centers for Medicare & Medicaid Services?
The Kartini Clinic Pc was assigned its 1134205198 by the Centers for Medicare & Medicaid Services on 2006-10-31.
As of what date was the information regarding Kartini Clinic Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kartini Clinic Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA