Gregory S Carroll in Tigard - General Practice
Gregory S Carroll - NPI 1588688014
Gregory S Carroll is a General Practice in Tigard, Oregon. Gregory S Carroll practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregory S Carroll is 1588688014. The last update date is 2011-01-21.
Gregory S Carroll's current location address is 10250 Sw Greenburg Rd, Tigard, Oregon. You can contact this provider via phone number 5037196783 and fax number 9713276734. The mailing address for Gregory S Carroll is 10250 Sw Greenburg Rd, Tigard, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory S Carroll |
|---|---|
| Address | 10250 Sw Greenburg Rd, Tigard, Oregon |
| Phone Number | 5037196783 |
| Fax Number | 9713276734 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588688014 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2011-01-21 |
Provider Mailing Address Detail
| Address | 10250 Sw Greenburg Rd |
|---|---|
| City | Tigard |
| State | Oregon (OR) |
| Post Code | 972235470 |
| Phone Number | 5037196783 |
| Fax Number | 9713276734 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | MD26081 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5705 | OR | -- |
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What is the unique identifier code issued to Gregory S Carroll by the Centers for Medicare & Medicaid Services?
The Gregory S Carroll has been assigned the NPI (National Provider Identifier) 1588688014. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gregory S Carroll?
The Gregory S Carroll is situated at 10250 Sw Greenburg Rd, in the city of Tigard, state of OR, with the zip code 972235470.
What is Gregory S Carroll's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gregory S Carroll's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588688014 to Gregory S Carroll?
The Gregory S Carroll received its 1588688014 assignment from the Centers for Medicare & Medicaid Services on 2006-07-27.
As of what date were the Gregory S Carroll's details last updated?
The information pertaining to the Gregory S Carroll, including its address, specialty, and other details, was most recently updated on 2011-01-21.