Theodore David Pawlik in Portland - Neonatal-perinatal Medicine

Theodore David Pawlik - NPI 1154483402

Theodore David Pawlik is a Neonatal-perinatal Medicine in Portland, Oregon. Theodore David Pawlik practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Theodore David Pawlik is 1154483402. The last update date is 2015-07-09.

Theodore David Pawlik's current location address is 501 N Graham St, Portland, Oregon. You can contact this provider via phone number 5032827002 and fax number 5032801290. The mailing address for Theodore David Pawlik is 501 N Graham St, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Theodore David Pawlik
Address 501 N Graham St, Portland, Oregon
Phone Number 5032827002
Fax Number 5032801290
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1154483402
Provider Enumeration Date 2006-12-14
Last Updated Date 2015-07-09

Provider Mailing Address Detail

Address 501 N Graham St
City Portland
State Oregon (OR)
Post Code 972272000
Phone Number 5032827002
Fax Number 5032801290

Provider's Primary Taxonomy Detail

Speciality Neonatal-perinatal Medicine
Taxonomy 2080N0001X
Licence No 36103541
Definition:
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
218504 OR --

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FAQs about Theodore David Pawlik

What is the unique 10-digit identifier code assigned to Theodore David Pawlik by the Centers for Medicare & Medicaid Services?

The Theodore David Pawlik has been issued the NPI (National Provider Identifier) 1154483402 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Theodore David Pawlik is physically located?

The Theodore David Pawlik is situated at the following address: 501 N Graham St, Portland, OR 972272000.

What is Theodore David Pawlik's area of expertise and its corresponding taxonomy classification?

The Theodore David Pawlik's field of specialization is Neonatal-perinatal Medicine, and it falls under the taxonomy code 2080N0001X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1154483402 to Theodore David Pawlik?

The Theodore David Pawlik received its 1154483402 assignment from the Centers for Medicare & Medicaid Services on 2006-12-14.

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

The information related to Theodore David Pawlik, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-07-09.

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