Jean-Luc Louis Gustin in Beaverton - Medical
Jean-Luc Louis Gustin - NPI 1083727507
Jean-Luc Louis Gustin is a Medical in Beaverton, Oregon. Jean-Luc Louis Gustin practices all healthcare services and medical treatments related to Medical. The NPI Number for Jean-Luc Louis Gustin is 1083727507. The last update date is 2007-07-08.
Jean-Luc Louis Gustin's current location address is 4855 Sw Western Ave, Beaverton, Oregon. You can contact this provider via phone number 5036437565. The mailing address for Jean-Luc Louis Gustin is 4855 Sw Western Ave, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jean-Luc Louis Gustin |
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Address | 4855 Sw Western Ave, Beaverton, Oregon |
Phone Number | 5036437565 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1083727507 |
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Provider Enumeration Date | 2006-08-17 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4855 Sw Western Ave |
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City | Beaverton |
State | Oregon (OR) |
Post Code | 970053460 |
Phone Number | 5036437565 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | PA00309 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code assigned to Jean-Luc Louis Gustin by the Centers for Medicare & Medicaid Services?
The Jean-Luc Louis Gustin has been issued the NPI (National Provider Identifier) 1083727507 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jean-Luc Louis Gustin is geographically located?
The Jean-Luc Louis Gustin is physically situated at the following location: 4855 Sw Western Ave, Beaverton, OR, 970053460.
What is Jean-Luc Louis Gustin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jean-Luc Louis Gustin is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
When was the Jean-Luc Louis Gustin's 1083727507 issued?
The Jean-Luc Louis Gustin's 1083727507 was issued on 2006-08-17.
As of what date were the Jean-Luc Louis Gustin's details last updated?
The information pertaining to the Jean-Luc Louis Gustin, including its address, specialty, and other details, was most recently updated on 2007-07-08.