Surgical Specialty Group Pc in Portland - Medical Specialty
Surgical Specialty Group Pc - NPI 1902978984
Surgical Specialty Group Pc is a Medical Specialty in Portland, Oregon. Surgical Specialty Group Pc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Surgical Specialty Group Pc is 1902978984. The last update date is 2013-11-05.
Surgical Specialty Group Pc'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 Surgical Specialty Group Pc is 511 Sw 10th Avenue, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Surgical Specialty Group Pc |
|---|---|
| Address | 511 Sw 10th Avenue, Portland, Oregon |
| Phone Number | 5032221615 |
| Fax Number | 5032220016 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC MAN |
|---|---|
| Authorized Official Name | Veis Maria Olga |
| Telephone Number | 5032221615 |
NPI Number Detail
| NPI Number | 1902978984 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2013-11-05 |
Provider Mailing Address Detail
| Address | 511 Sw 10th Avenue |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972052708 |
| Phone Number | 5032221615 |
| Fax Number | 5032220016 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 84061 | OR | -- |
Post Comment/ Review Below
What is the Surgical Specialty Group Pc's unique identification number?
The Surgical Specialty Group Pc has been assigned the NPI (National Provider Identifier) Number 1902978984 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Surgical Specialty Group Pc is geographically located?
The Surgical Specialty Group Pc is physically situated at the following location: 511 Sw 10Th Avenue, Portland, OR, 972052708.
What is Surgical Specialty Group Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Surgical Specialty Group Pc is Medical Specialty, and the taxonomy code that classifies this field of practice is 261Qm2500X.
On what date did the Surgical Specialty Group Pc receive the assignment of its 1902978984 from the Centers for Medicare & Medicaid Services?
The Surgical Specialty Group Pc was issued its 1902978984 by the Centers for Medicare & Medicaid Services on 2006-11-14.
As of what date was the information regarding Surgical Specialty Group Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Surgical Specialty Group Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-11-05.