Mark Tabor is a Physician Assistant in Boring, Oregon. Mark Tabor practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark Tabor is 1255318952. The last update date is 2016-07-06.
Mark Tabor's current location address is Po Box 96, Boring, Oregon. You can contact this provider via phone number 5033250333. The mailing address for Mark Tabor is Po Box 96, Boring, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Tabor |
|---|---|
| Address | Po Box 96, Boring, Oregon |
| Phone Number | 5033250333 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1255318952 |
|---|---|
| Provider Enumeration Date | 2005-12-23 |
| Last Updated Date | 2016-07-06 |
Provider Mailing Address Detail
| Address | Po Box 96 |
|---|---|
| City | Boring |
| State | Oregon (OR) |
| Post Code | 970090096 |
| Phone Number | 5033250333 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00726 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 840126019 | OR | REGENCE BS/BC | |
| P00087890 | OR | RR MC | |
| 218105 | OR | -- | |
| 8441354 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mark Tabor by the Centers for Medicare & Medicaid Services?
The Mark Tabor has been issued the NPI (National Provider Identifier) 1255318952. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark Tabor's facilities are geographically located?
The facilities of Mark Tabor are physically situated at the following location: Po Box 96, Boring, OR, 970090096.
What is the Mark Tabor's area of specialization and corresponding taxonomy classification?
The Mark Tabor's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1255318952 to Mark Tabor?
The Centers for Medicare & Medicaid Services assigned the 1255318952 to Mark Tabor on 2005-12-23.
As of what date were the details related to Mark Tabor most recently updated or revised?
The information pertaining to Mark Tabor, including its address, specialty, and other relevant details, was last updated or revised on 2016-07-06.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH