Kenneth G Pippus in Portland - Pediatric Surgery
Kenneth G Pippus - NPI 1801982764
Kenneth G Pippus is a Pediatric Surgery in Portland, Oregon. Kenneth G Pippus practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Kenneth G Pippus is 1801982764. The last update date is 2021-03-24.
Kenneth G Pippus's current location address is 9427 Sw Barnes Rd Ste 395, Portland, Oregon. You can contact this provider via phone number 5032166050 and fax number 5032168658. The mailing address for Kenneth G Pippus is 9427 Sw Barnes Rd Ste 395, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth G Pippus |
|---|---|
| Address | 9427 Sw Barnes Rd Ste 395, Portland, Oregon |
| Phone Number | 5032166050 |
| Fax Number | 5032168658 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1801982764 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2021-03-24 |
Provider Mailing Address Detail
| Address | 9427 Sw Barnes Rd Ste 395 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972256652 |
| Phone Number | 5032166050 |
| Fax Number | 5032168658 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 41464 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500624953 | OR | -- | |
| 44331282 | CO | -- |
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What is the Kenneth G Pippus's unique identification number?
The Kenneth G Pippus has been assigned the NPI (National Provider Identifier) Number 1801982764 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kenneth G Pippus located?
The Kenneth G Pippus is located at 9427 Sw Barnes Rd Ste 395, Portland, OR 972256652.
What is the area of specialization for Kenneth G Pippus, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth G Pippus is Pediatric Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0120X.
On what date did Kenneth G Pippus receive its 1801982764 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth G Pippus was assigned its 1801982764 on 2006-10-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kenneth G Pippus's details last updated?
The information pertaining to the Kenneth G Pippus, including its address, specialty, and other details, was most recently updated on 2021-03-24.