Larry R Eidemiller in Portland - Surgery

Larry R Eidemiller - NPI 1447287701

Larry R Eidemiller is a Surgery in Portland, Oregon. Larry R Eidemiller practices all healthcare services and medical treatments related to Surgery. The NPI Number for Larry R Eidemiller is 1447287701. The last update date is 2008-05-22.

Larry R Eidemiller's current location address is 9155 Sw Barnes Rd, Portland, Oregon. You can contact this provider via phone number 5032297339 and fax number 5032297938. The mailing address for Larry R Eidemiller is 9155 Sw Barnes Rd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry R Eidemiller
Address 9155 Sw Barnes Rd, Portland, Oregon
Phone Number 5032297339
Fax Number 5032297938
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1447287701
Provider Enumeration Date 2006-06-26
Last Updated Date 2008-05-22

Provider Mailing Address Detail

Address 9155 Sw Barnes Rd
City Portland
State Oregon (OR)
Post Code 972256625
Phone Number 5032297339
Fax Number 5032297938

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No MD07236
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
234799 OR --

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FAQs about Larry R Eidemiller

What is the unique 10-digit identification code issued to Larry R Eidemiller by the Centers for Medicare & Medicaid Services?

The Larry R Eidemiller has been assigned the NPI (National Provider Identifier) 1447287701 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Larry R Eidemiller's facilities are geographically located?

The facilities of Larry R Eidemiller are physically situated at the following location: 9155 Sw Barnes Rd, Portland, OR, 972256625.

What is Larry R Eidemiller's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Larry R Eidemiller is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.

On what date was the 1447287701 assigned to Larry R Eidemiller?

The Larry R Eidemiller was issued its 1447287701 on 2006-06-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Larry R Eidemiller most recently updated or revised?

The information pertaining to Larry R Eidemiller, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-22.

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