Lisa Anne Egan is a Medical in Portland, Oregon. Lisa Anne Egan practices all healthcare services and medical treatments related to Medical. The NPI Number for Lisa Anne Egan is 1407862964. The last update date is 2021-02-17.
Lisa Anne Egan's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034184500 and fax number 5034944473. The mailing address for Lisa Anne Egan is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Anne Egan |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034184500 |
| Fax Number | 5034944473 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1407862964 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2021-02-17 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034184500 |
| Fax Number | 5034944473 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA00569 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the Lisa Anne Egan's 1407862964?
The Lisa Anne Egan's NPI (National Provider Identifier) Number is 1407862964. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lisa Anne Egan is geographically located?
The Lisa Anne Egan is physically situated at the following location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.
What is Lisa Anne Egan's area of expertise and its corresponding taxonomy classification?
The Lisa Anne Egan's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Lisa Anne Egan receive the assignment of its 1407862964 from the Centers for Medicare & Medicaid Services?
The Lisa Anne Egan was issued its 1407862964 by the Centers for Medicare & Medicaid Services on 2006-08-01.
When was the information pertaining to Lisa Anne Egan most recently updated or revised?
The details related to Lisa Anne Egan, including its address, specialty, and other relevant information, were last updated or revised on 2021-02-17.
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