Blake D Niederhauser in Corvallis - Diagnostic Radiology
Blake D Niederhauser - NPI 1578726683
Blake D Niederhauser is a Diagnostic Radiology in Corvallis, Oregon. Blake D Niederhauser practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Blake D Niederhauser is 1578726683. The last update date is 2018-01-10.
Blake D Niederhauser's current location address is Po Box 1108, Corvallis, Oregon. You can contact this provider via phone number 2083812094 and fax number 2083811791. The mailing address for Blake D Niederhauser is Po Box 1108, Corvallis, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blake D Niederhauser |
|---|---|
| Address | Po Box 1108, Corvallis, Oregon |
| Phone Number | 2083812094 |
| Fax Number | 2083811791 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1578726683 |
|---|---|
| Provider Enumeration Date | 2008-07-08 |
| Last Updated Date | 2018-01-10 |
Provider Mailing Address Detail
| Address | Po Box 1108 |
|---|---|
| City | Corvallis |
| State | Oregon (OR) |
| Post Code | 973391108 |
| Phone Number | 2083812094 |
| Fax Number | 2083811791 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 104451 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ENROLLED | IA | -- | |
| ENROLLED | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Blake D Niederhauser?
The Blake D Niederhauser has been issued the NPI (National Provider Identifier) 1578726683 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Blake D Niederhauser's physical address?
The Blake D Niederhauser is physically located at Po Box 1108, in the city of Corvallis, OR, with the postal code 973391108.
What is the Blake D Niederhauser's area of specialization and corresponding taxonomy classification?
The Blake D Niederhauser's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578726683 to Blake D Niederhauser?
The Centers for Medicare & Medicaid Services originally issued the 1578726683 to Blake D Niederhauser on 2008-07-08.
As of what date was the information pertaining to Blake D Niederhauser, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Blake D Niederhauser, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-01-10.