Gary H Leaverton in Portland - Colon & Rectal Surgery
Gary H Leaverton - NPI 1629140603
Gary H Leaverton is a Colon & Rectal Surgery in Portland, Oregon. Gary H Leaverton practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Gary H Leaverton is 1629140603. The last update date is 2007-07-08.
Gary H Leaverton's current location address is 511 Sw 10th Avenue, Portland, Oregon. You can contact this provider via phone number 5032221615 and fax number 5032220016. The mailing address for Gary H Leaverton is 511 Sw 10th Avenue, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary H Leaverton |
|---|---|
| Address | 511 Sw 10th Avenue, Portland, Oregon |
| Phone Number | 5032221615 |
| Fax Number | 5032220016 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629140603 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 511 Sw 10th Avenue |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97205 |
| Phone Number | 5032221615 |
| Fax Number | 5032220016 |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | MD05359 |
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Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 108472 | OR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Gary H Leaverton by the Centers for Medicare & Medicaid Services?
The Gary H Leaverton has been issued the NPI (National Provider Identifier) 1629140603. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Gary H Leaverton's facilities are situated?
The facilities of Gary H Leaverton are physically located at the following address: 511 Sw 10Th Avenue, Portland, OR, 97205.
What is the Gary H Leaverton's specialty and taxonomy code?
The Gary H Leaverton's specialty is Colon & Rectal Surgery, and the corresponding taxonomy code is 208C00000X.
On what date did the Gary H Leaverton receive the assignment of its 1629140603 from the Centers for Medicare & Medicaid Services?
The Gary H Leaverton was issued its 1629140603 by the Centers for Medicare & Medicaid Services on 2006-11-14.
As of what date were the details related to Gary H Leaverton most recently updated or revised?
The information pertaining to Gary H Leaverton, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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