John Gustavsson in Portland - Diagnostic Radiology

John Gustavsson - NPI 1437199254

John Gustavsson is a Diagnostic Radiology in Portland, Oregon. John Gustavsson practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for John Gustavsson is 1437199254. The last update date is 2010-12-29.

John Gustavsson's current location address is 2801 N Gantenbein Ave, Portland, Oregon. You can contact this provider via phone number 5034134032 and fax number 5032270218. The mailing address for John Gustavsson is 2801 N Gantenbein Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name John Gustavsson
Address 2801 N Gantenbein Ave, Portland, Oregon
Phone Number 5034134032
Fax Number 5032270218
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1437199254
Provider Enumeration Date 2006-06-08
Last Updated Date 2010-12-29

Provider Mailing Address Detail

Address 2801 N Gantenbein Ave
City Portland
State Oregon (OR)
Post Code 972271623
Phone Number 5034134032
Fax Number 5032270218

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No MD24209
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
226938 OR --

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FAQs about John Gustavsson

What is the unique identification code assigned to John Gustavsson by the Centers for Medicare & Medicaid Services?

The John Gustavsson has been issued the NPI (National Provider Identifier) 1437199254. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the John Gustavsson located?

The John Gustavsson is located at 2801 N Gantenbein Ave, Portland, OR 972271623.

What is the area of specialization for John Gustavsson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John Gustavsson is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services issue the 1437199254 to John Gustavsson?

The John Gustavsson received its 1437199254 assignment from the Centers for Medicare & Medicaid Services on 2006-06-08.

When was the John Gustavsson's information last updated?

The John Gustavsson's information was last updated on 2010-12-29.

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