Daniel James Sisco in Portland - Clinic/center
Daniel James Sisco - NPI 1902950645
Daniel James Sisco is a Clinic/center in Portland, Oregon. Daniel James Sisco practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Daniel James Sisco is 1902950645. The last update date is 2007-07-09.
Daniel James Sisco's current location address is 3351 Ne Broadway St, Portland, Oregon. You can contact this provider via phone number 5032829222 and fax number 5032828116. The mailing address for Daniel James Sisco is 3351 Ne Broadway St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel James Sisco |
|---|---|
| Address | 3351 Ne Broadway St, Portland, Oregon |
| Phone Number | 5032829222 |
| Fax Number | 5032828116 |
| Sole Proprietor | Y |
| Credentials | N.D. |
NPI Number Detail
| NPI Number | 1902950645 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3351 Ne Broadway St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972321816 |
| Phone Number | 5032829222 |
| Fax Number | 5032828116 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 536 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 27805-1 | OR | -- |
Post Comment/ Review Below
What is the Daniel James Sisco's 1902950645?
The Daniel James Sisco's NPI (National Provider Identifier) Number is 1902950645. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Daniel James Sisco is physically located?
The Daniel James Sisco is physically situated at the following address: 3351 Ne Broadway St, Portland, OR, 972321816.
What is the Daniel James Sisco's area of specialization and corresponding taxonomy classification?
The Daniel James Sisco's specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1902950645 to Daniel James Sisco?
The Centers for Medicare & Medicaid Services assigned the 1902950645 to Daniel James Sisco on 2007-01-22.
As of what date were the Daniel James Sisco's details last updated?
The information pertaining to the Daniel James Sisco, including its address, specialty, and other details, was most recently updated on 2007-07-09.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH