Izabela Maciolek is a Medical in Portland, Oregon. Izabela Maciolek practices all healthcare services and medical treatments related to Medical. The NPI Number for Izabela Maciolek is 1699771238. The last update date is 2023-12-05.
Izabela Maciolek's current location address is 541 Ne 20th Ave Ste 225, Portland, Oregon. You can contact this provider via phone number 5039632801 and fax number 5039632825. The mailing address for Izabela Maciolek is 541 Ne 20th Ave Ste 225, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Izabela Maciolek |
|---|---|
| Address | 541 Ne 20th Ave Ste 225, Portland, Oregon |
| Phone Number | 5039632801 |
| Fax Number | 5039632825 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1699771238 |
|---|---|
| Provider Enumeration Date | 2005-06-27 |
| Last Updated Date | 2023-12-05 |
Provider Mailing Address Detail
| Address | 541 Ne 20th Ave Ste 225 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972322895 |
| Phone Number | 5039632801 |
| Fax Number | 5039632825 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA00754 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500602671 | OR | -- | |
| 8502593 | WA | -- |
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What is the unique 10-digit identifier code issued to Izabela Maciolek by the Centers for Medicare & Medicaid Services?
The Izabela Maciolek has been assigned the NPI (National Provider Identifier) 1699771238 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Izabela Maciolek is physically located?
The Izabela Maciolek is physically situated at the following address: 541 Ne 20Th Ave Ste 225, Portland, OR, 972322895.
What is Izabela Maciolek's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Izabela Maciolek's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
When did the Izabela Maciolek receive its 1699771238?
The Izabela Maciolek was issued its 1699771238 on 2005-06-27, which is the date when the organization was assigned this unique identifier.
When was the information related to Izabela Maciolek most recently updated or refreshed?
The details pertaining to the Izabela Maciolek, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-12-05.