Craig Gerald Brooksby in Portland - Diagnostic Radiology
Craig Gerald Brooksby - NPI 1881887552
Craig Gerald Brooksby is a Diagnostic Radiology in Portland, Oregon. Craig Gerald Brooksby practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Craig Gerald Brooksby is 1881887552. The last update date is 2012-05-23.
Craig Gerald Brooksby's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034948311 and fax number 5034949663. The mailing address for Craig Gerald Brooksby is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Gerald Brooksby |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034948311 |
| Fax Number | 5034949663 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1881887552 |
|---|---|
| Provider Enumeration Date | 2007-08-24 |
| Last Updated Date | 2012-05-23 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034948311 |
| Fax Number | 5034949663 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | PG155713 |
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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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What is the unique 10-digit identification code assigned to Craig Gerald Brooksby by the Centers for Medicare & Medicaid Services?
The Craig Gerald Brooksby has been issued the NPI (National Provider Identifier) 1881887552, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Craig Gerald Brooksby is located?
The Craig Gerald Brooksby is situated at the following address: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.
What is Craig Gerald Brooksby's area of expertise and its corresponding taxonomy classification?
The Craig Gerald Brooksby's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.
When did Craig Gerald Brooksby receive its 1881887552 assignment?
The Craig Gerald Brooksby was assigned its 1881887552 on 2007-08-24, which is the date when this unique identifier was issued to the organization.
As of what date were the Craig Gerald Brooksby's details last updated?
The information pertaining to the Craig Gerald Brooksby, including its address, specialty, and other details, was most recently updated on 2012-05-23.
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