Patricia Madeline Reilly in Portland - Pediatrics

Patricia Madeline Reilly - NPI 1578660668

Patricia Madeline Reilly is a Pediatrics in Portland, Oregon. Patricia Madeline Reilly practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Patricia Madeline Reilly is 1578660668. The last update date is 2007-07-12.

Patricia Madeline Reilly's current location address is 2801 N Gantenbein Ave, Portland, Oregon. You can contact this provider via phone number 5034132200 and fax number 5033312410. The mailing address for Patricia Madeline Reilly is 2801 N Gantenbein Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia Madeline Reilly
Address 2801 N Gantenbein Ave, Portland, Oregon
Phone Number 5034132200
Fax Number 5033312410
Sole Proprietor N
Credentials PNP

NPI Number Detail

NPI Number 1578660668
Provider Enumeration Date 2006-09-20
Last Updated Date 2007-07-12

Provider Mailing Address Detail

Address 2801 N Gantenbein Ave
City Portland
State Oregon (OR)
Post Code 972271623
Phone Number 5034132200
Fax Number 5033312410

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 089006877N2
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

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FAQs about Patricia Madeline Reilly

What is the Patricia Madeline Reilly's 1578660668?

The Patricia Madeline Reilly's NPI (National Provider Identifier) Number is 1578660668. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Patricia Madeline Reilly is physically located?

The Patricia Madeline Reilly is physically situated at the following address: 2801 N Gantenbein Ave, Portland, OR, 972271623.

What is the Patricia Madeline Reilly's specialty and taxonomy code?

The Patricia Madeline Reilly's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.

On what date did Patricia Madeline Reilly receive its 1578660668 assignment from the Centers for Medicare & Medicaid Services?

The Patricia Madeline Reilly was assigned its 1578660668 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Patricia Madeline Reilly, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Patricia Madeline Reilly, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-12.

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