Stephen Jay Datena is a Surgery in Portland, Oregon. Stephen Jay Datena practices all healthcare services and medical treatments related to Surgery. The NPI Number for Stephen Jay Datena is 1740296243. The last update date is 2007-07-08.
Stephen Jay Datena's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034948372. The mailing address for Stephen Jay Datena is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Jay Datena |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034948372 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1740296243 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034948372 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | MD18504 |
|
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; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 58177 | OR | -- |
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What is the Stephen Jay Datena's unique identification number?
The Stephen Jay Datena has been assigned the NPI (National Provider Identifier) Number 1740296243 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Stephen Jay Datena is physically located?
The Stephen Jay Datena is situated at the following address: 3181 Sw Sam Jackson Park Rd, Portland, OR 972393011.
What is Stephen Jay Datena's area of expertise and its corresponding taxonomy classification?
The Stephen Jay Datena's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Stephen Jay Datena receive the assignment of its 1740296243 from the Centers for Medicare & Medicaid Services?
The Stephen Jay Datena was issued its 1740296243 by the Centers for Medicare & Medicaid Services on 2006-08-01.
As of what date were the Stephen Jay Datena's details last updated?
The information pertaining to the Stephen Jay Datena, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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