Jesus C. Miranda is a Orthopedic in Clackamas, Oregon. Jesus C. Miranda practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Jesus C. Miranda is 1639359961. The last update date is 2009-12-16.
Jesus C. Miranda's current location address is 10151 Se Sunnyside Rd Ste 310, Clackamas, Oregon. You can contact this provider via phone number 5034961058 and fax number 8886755282. The mailing address for Jesus C. Miranda is 10151 Se Sunnyside Rd Ste 310, Clackamas, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesus C. Miranda |
|---|---|
| Address | 10151 Se Sunnyside Rd Ste 310, Clackamas, Oregon |
| Phone Number | 5034961058 |
| Fax Number | 8886755282 |
| Sole Proprietor | Y |
| Credentials | PT, DPT, O |
NPI Number Detail
| NPI Number | 1639359961 |
|---|---|
| Provider Enumeration Date | 2007-11-03 |
| Last Updated Date | 2009-12-16 |
Provider Mailing Address Detail
| Address | 10151 Se Sunnyside Rd Ste 310 |
|---|---|
| City | Clackamas |
| State | Oregon (OR) |
| Post Code | 970156913 |
| Phone Number | 5034961058 |
| Fax Number | 8886755282 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 5547 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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What is the unique identifier code issued to Jesus C. Miranda by the Centers for Medicare & Medicaid Services?
The Jesus C. Miranda has been assigned the NPI (National Provider Identifier) 1639359961. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jesus C. Miranda?
The Jesus C. Miranda is physically situated at 10151 Se Sunnyside Rd Ste 310, in the city of Clackamas, state of OR, with the postal code 970156913.
What is Jesus C. Miranda's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jesus C. Miranda is Orthopedic, and the taxonomy classification code that categorizes this area of expertise is 2251X0800X.
On what date did Jesus C. Miranda receive its 1639359961 assignment from the Centers for Medicare & Medicaid Services?
The Jesus C. Miranda was assigned its 1639359961 on 2007-11-03, 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 details related to Jesus C. Miranda most recently updated or revised?
The information pertaining to Jesus C. Miranda, including its address, specialty, and other relevant details, was last updated or revised on 2009-12-16.
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