Frederick Anthony Tibayan in Portland - Thoracic Surgery (cardiothoracic Vascular Surgery)

Frederick Anthony Tibayan - NPI 1174719686

Frederick Anthony Tibayan is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Portland, Oregon. Frederick Anthony Tibayan practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Frederick Anthony Tibayan is 1174719686. The last update date is 2013-01-07.

Frederick Anthony Tibayan's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034947820. The mailing address for Frederick Anthony Tibayan is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Frederick Anthony Tibayan
Address 3181 Sw Sam Jackson Park Rd, Portland, Oregon
Phone Number 5034947820
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1174719686
Provider Enumeration Date 2007-09-18
Last Updated Date 2013-01-07

Provider Mailing Address Detail

Address 3181 Sw Sam Jackson Park Rd
City Portland
State Oregon (OR)
Post Code 972393011
Phone Number 5034947820
Fax Number

Provider's Primary Taxonomy Detail

Speciality Thoracic Surgery (cardiothoracic Vascular Surgery)
Taxonomy 208G00000X
Licence No A77336
Definition:
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities

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FAQs about Frederick Anthony Tibayan

What is the unique 10-digit identifier code issued to Frederick Anthony Tibayan by the Centers for Medicare & Medicaid Services?

The Frederick Anthony Tibayan has been assigned the NPI (National Provider Identifier) 1174719686 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Frederick Anthony Tibayan's facilities are geographically located?

The facilities of Frederick Anthony Tibayan are physically situated at the following location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.

What is Frederick Anthony Tibayan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Frederick Anthony Tibayan is Thoracic Surgery (cardiothoracic Vascular Surgery), and the taxonomy code that classifies this field of practice is 208G00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1174719686 to Frederick Anthony Tibayan?

The Centers for Medicare & Medicaid Services assigned the 1174719686 to Frederick Anthony Tibayan on 2007-09-18.

As of what date were the Frederick Anthony Tibayan's details last updated?

The information pertaining to the Frederick Anthony Tibayan, including its address, specialty, and other details, was most recently updated on 2013-01-07.

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