Lorena Leslie Cline in Portland - Physician Assistant

Lorena Leslie Cline - NPI 1457531147

Lorena Leslie Cline is a Physician Assistant in Portland, Oregon. Lorena Leslie Cline practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lorena Leslie Cline is 1457531147. The last update date is 2019-12-11.

Lorena Leslie Cline's current location address is 4103 Mercantile Drive, Portland, Oregon. You can contact this provider via phone number 5038509940 and fax number 5038506709. The mailing address for Lorena Leslie Cline is 4103 Mercantile Drive, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Lorena Leslie Cline
Address 4103 Mercantile Drive, Portland, Oregon
Phone Number 5038509940
Fax Number 5038506709
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1457531147
Provider Enumeration Date 2007-11-09
Last Updated Date 2019-12-11

Provider Mailing Address Detail

Address 4103 Mercantile Drive
City Portland
State Oregon (OR)
Post Code 97035
Phone Number 5038509940
Fax Number 5038506709

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA01289
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
500604992 OR --

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FAQs about Lorena Leslie Cline

What is the unique 10-digit identification code issued to Lorena Leslie Cline by the Centers for Medicare & Medicaid Services?

The Lorena Leslie Cline has been assigned the NPI (National Provider Identifier) 1457531147 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Lorena Leslie Cline located?

The Lorena Leslie Cline is located at 4103 Mercantile Drive, Portland, OR 97035.

What is Lorena Leslie Cline's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lorena Leslie Cline's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1457531147 to Lorena Leslie Cline?

The Centers for Medicare & Medicaid Services originally issued the 1457531147 to Lorena Leslie Cline on 2007-11-09.

When was the information regarding Lorena Leslie Cline most recently updated?

The details pertaining to the Lorena Leslie Cline, including its address, specialty, and other relevant information, were last refreshed on 2019-12-11.

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