Charlotte P Gardner in Corvallis - Physician Assistant
Charlotte P Gardner - NPI 1538241120
Charlotte P Gardner is a Physician Assistant in Corvallis, Oregon. Charlotte P Gardner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charlotte P Gardner is 1538241120. The last update date is 2020-11-09.
Charlotte P Gardner's current location address is 5234 Sw Philomath Boulevard, Corvallis, Oregon. You can contact this provider via phone number 5417684970. The mailing address for Charlotte P Gardner is 5234 Sw Philomath Boulevard, Corvallis, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charlotte P Gardner |
|---|---|
| Address | 5234 Sw Philomath Boulevard, Corvallis, Oregon |
| Phone Number | 5417684970 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1538241120 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2020-11-09 |
Provider Mailing Address Detail
| Address | 5234 Sw Philomath Boulevard |
|---|---|
| City | Corvallis |
| State | Oregon (OR) |
| Post Code | 973331042 |
| Phone Number | 5417684970 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA201 |
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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 |
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What is the unique identification code assigned to Charlotte P Gardner by the Centers for Medicare & Medicaid Services?
The Charlotte P Gardner has been issued the NPI (National Provider Identifier) 1538241120. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Charlotte P Gardner?
The Charlotte P Gardner is physically situated at 5234 Sw Philomath Boulevard, in the city of Corvallis, state of OR, with the postal code 973331042.
What is Charlotte P Gardner's area of expertise and its corresponding taxonomy classification?
The Charlotte P Gardner's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Charlotte P Gardner receive its 1538241120 assignment from the Centers for Medicare & Medicaid Services?
The Charlotte P Gardner was assigned its 1538241120 on 2006-10-20, 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 Charlotte P Gardner's details last updated?
The information pertaining to the Charlotte P Gardner, including its address, specialty, and other details, was most recently updated on 2020-11-09.
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