Jennifer E. Bevacqua in Gresham - Pediatrics
Jennifer E. Bevacqua - NPI 1326056847
Jennifer E. Bevacqua is a Pediatrics in Gresham, Oregon. Jennifer E. Bevacqua practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jennifer E. Bevacqua is 1326056847. The last update date is 2011-07-19.
Jennifer E. Bevacqua's current location address is 600 Ne 8th St, Gresham, Oregon. You can contact this provider via phone number 5039885155 and fax number 5039885185. The mailing address for Jennifer E. Bevacqua is 600 Ne 8th St, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer E. Bevacqua |
|---|---|
| Address | 600 Ne 8th St, Gresham, Oregon |
| Phone Number | 5039885155 |
| Fax Number | 5039885185 |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1326056847 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2011-07-19 |
Provider Mailing Address Detail
| Address | 600 Ne 8th St |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970307317 |
| Phone Number | 5039885155 |
| Fax Number | 5039885185 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 200550067NP |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 270026 | OR | -- |
Post Comment/ Review Below
What is the Jennifer E. Bevacqua's unique identification number?
The Jennifer E. Bevacqua has been assigned the NPI (National Provider Identifier) Number 1326056847 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jennifer E. Bevacqua is physically located?
The Jennifer E. Bevacqua is physically situated at the following address: 600 Ne 8Th St, Gresham, OR, 970307317.
What is Jennifer E. Bevacqua's area of expertise and its corresponding taxonomy classification?
The Jennifer E. Bevacqua's field of specialization is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1326056847 to Jennifer E. Bevacqua?
The Jennifer E. Bevacqua received its 1326056847 assignment from the Centers for Medicare & Medicaid Services on 2006-08-03.
When was the information related to Jennifer E. Bevacqua most recently updated or refreshed?
The details pertaining to the Jennifer E. Bevacqua, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-07-19.