Bruce Alter is a Pediatrics in Portland, Oregon. Bruce Alter practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Bruce Alter is 1619911534. The last update date is 2007-07-08.
Bruce Alter's current location address is 3104 Ne 49th Ave, Portland, Oregon. You can contact this provider via phone number 5032800380 and fax number 9713278729. The mailing address for Bruce Alter is 3104 Ne 49th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Alter |
|---|---|
| Address | 3104 Ne 49th Ave, Portland, Oregon |
| Phone Number | 5032800380 |
| Fax Number | 9713278729 |
| Sole Proprietor | X |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1619911534 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3104 Ne 49th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972131847 |
| Phone Number | 5032800380 |
| Fax Number | 9713278729 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 1623 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique identifier code issued to Bruce Alter by the Centers for Medicare & Medicaid Services (CMS)?
The Bruce Alter has been assigned the NPI (National Provider Identifier) 1619911534. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Bruce Alter's physical address?
The Bruce Alter is physically located at 3104 Ne 49Th Ave, in the city of Portland, OR, with the postal code 972131847.
What is the Bruce Alter's specialty and taxonomy code?
The Bruce Alter's specialty is Pediatrics, and the corresponding taxonomy code is 2251P0200X.
On what date was the 1619911534 assigned to Bruce Alter?
The Bruce Alter was issued its 1619911534 on 2006-06-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Bruce Alter most recently updated or revised?
The details related to Bruce Alter, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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