First Avenue Clinic in Canby - Medical Specialty
First Avenue Clinic - NPI 1710173190
First Avenue Clinic is a Medical Specialty in Canby, Oregon. First Avenue Clinic practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for First Avenue Clinic is 1710173190. The last update date is 2007-09-19.
First Avenue Clinic's current location address is 322 Nw 1st Ave, Canby, Oregon. You can contact this provider via phone number 5032662000 and fax number 5032662015. The mailing address for First Avenue Clinic is 322 Nw 1st Ave, Canby, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | First Avenue Clinic |
|---|---|
| Address | 322 Nw 1st Ave, Canby, Oregon |
| Phone Number | 5032662000 |
| Fax Number | 5032662015 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NATUROPATH |
|---|---|
| Authorized Official Name | Frease Lynn Diann |
| Credentials | N.D. |
| Telephone Number | 5032662000 |
NPI Number Detail
| NPI Number | 1710173190 |
|---|---|
| Provider Enumeration Date | 2007-09-19 |
| Last Updated Date | 2007-09-19 |
Provider Mailing Address Detail
| Address | 322 Nw 1st Ave |
|---|---|
| City | Canby |
| State | Oregon (OR) |
| Post Code | 970133533 |
| Phone Number | 5032662000 |
| Fax Number | 5032662015 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 1420 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to First Avenue Clinic by the Centers for Medicare & Medicaid Services?
The First Avenue Clinic has been assigned the NPI (National Provider Identifier) 1710173190 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of First Avenue Clinic?
The First Avenue Clinic is physically situated at 322 Nw 1St Ave, in the city of Canby, state of OR, with the postal code 970133533.
What is First Avenue Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The First Avenue Clinic's area of specialization is Medical Specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm2500X.
When did First Avenue Clinic receive its 1710173190 assignment?
The First Avenue Clinic was assigned its 1710173190 on 2007-09-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to First Avenue Clinic most recently updated or revised?
The information pertaining to First Avenue Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-19.