Paul Dennis Wacek in Portland - Physician Assistant
Paul Dennis Wacek - NPI 1093742041
Paul Dennis Wacek is a Physician Assistant in Portland, Oregon. Paul Dennis Wacek practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Paul Dennis Wacek is 1093742041. The last update date is 2015-06-18.
Paul Dennis Wacek's current location address is 847 Ne 19th Ave, Portland, Oregon. You can contact this provider via phone number 5039632801 and fax number 5039632825. The mailing address for Paul Dennis Wacek is 847 Ne 19th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Dennis Wacek |
|---|---|
| Address | 847 Ne 19th Ave, Portland, Oregon |
| Phone Number | 5039632801 |
| Fax Number | 5039632825 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1093742041 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2015-06-18 |
Provider Mailing Address Detail
| Address | 847 Ne 19th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972322684 |
| Phone Number | 5039632801 |
| Fax Number | 5039632825 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA01087 |
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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 |
|---|---|---|---|
| 500605090 | OR | -- |
Post Comment/ Review Below
What is Paul Dennis Wacek's area of expertise and its corresponding taxonomy classification?
The Paul Dennis Wacek'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.
What is Paul Dennis Wacek's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Paul Dennis Wacek is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did Paul Dennis Wacek receive its 1093742041 assignment?
The Paul Dennis Wacek was assigned its 1093742041 on 2006-06-26, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Paul Dennis Wacek last refreshed?
The information related to the Paul Dennis Wacek, including its address, specialty, and other relevant details, was last updated on 2015-06-18.
When was the information regarding Paul Dennis Wacek, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Paul Dennis Wacek, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-06-18.
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