Jason Scott Graeme in Longview - Surgical

Jason Scott Graeme - NPI 1609917160

Jason Scott Graeme is a Surgical in Longview, Washington. Jason Scott Graeme practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jason Scott Graeme is 1609917160. The last update date is 2021-07-14.

Jason Scott Graeme's current location address is 1615 Delaware St, Longview, Washington. You can contact this provider via phone number 3604142700 and fax number 3604142714. The mailing address for Jason Scott Graeme is 1615 Delaware St, Longview, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason Scott Graeme
Address 1615 Delaware St, Longview, Washington
Phone Number 3604142700
Fax Number 3604142714
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1609917160
Provider Enumeration Date 2007-02-09
Last Updated Date 2021-07-14

Provider Mailing Address Detail

Address 1615 Delaware St
City Longview
State Washington (WA)
Post Code 986322367
Phone Number 3604142700
Fax Number 3604142714

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA60240564
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
285594 WA LABOR & INDUSTRIES
500640668 OR --
2015043 WA --

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FAQs about Jason Scott Graeme

What is the unique 10-digit identification code assigned to Jason Scott Graeme by the Centers for Medicare & Medicaid Services?

The Jason Scott Graeme has been issued the NPI (National Provider Identifier) 1609917160, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jason Scott Graeme is physically located?

The Jason Scott Graeme is situated at the following address: 1615 Delaware St, Longview, WA 986322367.

What is the area of specialization for Jason Scott Graeme, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jason Scott Graeme is Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 363As0400X.

When did Jason Scott Graeme receive its 1609917160 assignment?

The Jason Scott Graeme was assigned its 1609917160 on 2007-02-09, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Jason Scott Graeme most recently updated or revised?

The information pertaining to Jason Scott Graeme, including its address, specialty, and other relevant details, was last updated or revised on 2021-07-14.

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