Reza Antoszewska in Portland - Nurse Practitioner
Reza Antoszewska - NPI 1770645251
Reza Antoszewska is a Nurse Practitioner in Portland, Oregon. Reza Antoszewska practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Reza Antoszewska is 1770645251. The last update date is 2014-01-09.
Reza Antoszewska's current location address is 1015 Nw 22nd Ave, Portland, Oregon. You can contact this provider via phone number 5034136535 and fax number 5034137491. The mailing address for Reza Antoszewska is 1015 Nw 22nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Reza Antoszewska |
|---|---|
| Address | 1015 Nw 22nd Ave, Portland, Oregon |
| Phone Number | 5034136535 |
| Fax Number | 5034137491 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1770645251 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2014-01-09 |
Provider Mailing Address Detail
| Address | 1015 Nw 22nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972103025 |
| Phone Number | 5034136535 |
| Fax Number | 5034137491 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 171265 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identification code assigned to Reza Antoszewska by the Centers for Medicare & Medicaid Services?
The Reza Antoszewska has been issued the NPI (National Provider Identifier) 1770645251. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Reza Antoszewska is geographically located?
The Reza Antoszewska is physically situated at the following location: 1015 Nw 22Nd Ave, Portland, OR, 972103025.
What is Reza Antoszewska's specialized field of practice, and what is the corresponding taxonomy classification code?
The Reza Antoszewska's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Reza Antoszewska receive its 1770645251 assignment from the Centers for Medicare & Medicaid Services?
The Reza Antoszewska was assigned its 1770645251 by the Centers for Medicare & Medicaid Services on 2006-12-14.
When was the Reza Antoszewska's information last updated?
The Reza Antoszewska's information was last updated on 2014-01-09.
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