Jill Keitges Wellnitz in Portland - Physician Assistant
Jill Keitges Wellnitz - NPI 1902828536
Jill Keitges Wellnitz is a Physician Assistant in Portland, Oregon. Jill Keitges Wellnitz practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jill Keitges Wellnitz is 1902828536. The last update date is 2021-07-01.
Jill Keitges Wellnitz's current location address is 5330 Ne Glisan St, Portland, Oregon. You can contact this provider via phone number 5032159080 and fax number 5032159099. The mailing address for Jill Keitges Wellnitz is 5330 Ne Glisan St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Keitges Wellnitz |
|---|---|
| Address | 5330 Ne Glisan St, Portland, Oregon |
| Phone Number | 5032159080 |
| Fax Number | 5032159099 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1902828536 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2021-07-01 |
Provider Mailing Address Detail
| Address | 5330 Ne Glisan St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972133069 |
| Phone Number | 5032159080 |
| Fax Number | 5032159099 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA01112 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500600088 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jill Keitges Wellnitz by the Centers for Medicare & Medicaid Services?
The Jill Keitges Wellnitz has been issued the NPI (National Provider Identifier) 1902828536, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jill Keitges Wellnitz is physically located?
The Jill Keitges Wellnitz is situated at the following address: 5330 Ne Glisan St, Portland, OR 972133069.
What is Jill Keitges Wellnitz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jill Keitges Wellnitz's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1902828536 assigned to Jill Keitges Wellnitz?
The Jill Keitges Wellnitz was issued its 1902828536 on 2006-07-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jill Keitges Wellnitz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jill Keitges Wellnitz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-07-01.
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