Phyllis A Pengelly in Portland - Women's Health
Phyllis A Pengelly - NPI 1265468912
Phyllis A Pengelly is a Women's Health in Portland, Oregon. Phyllis A Pengelly practices all healthcare services and medical treatments related to Women's Health. The NPI Number for Phyllis A Pengelly is 1265468912. The last update date is 2011-11-14.
Phyllis A Pengelly's current location address is 3727 Ne Martin Luther King Jr Blvd, Portland, Oregon. You can contact this provider via phone number 5037754931 and fax number 5037887285. The mailing address for Phyllis A Pengelly is 3727 Ne Martin Luther King Jr Blvd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis A Pengelly |
|---|---|
| Address | 3727 Ne Martin Luther King Jr Blvd, Portland, Oregon |
| Phone Number | 5037754931 |
| Fax Number | 5037887285 |
| Sole Proprietor | N |
| Credentials | WHNP |
NPI Number Detail
| NPI Number | 1265468912 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2011-11-14 |
Provider Mailing Address Detail
| Address | 3727 Ne Martin Luther King Jr Blvd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972121112 |
| Phone Number | 5037754931 |
| Fax Number | 5037887285 |
Provider's Primary Taxonomy Detail
| Speciality | Women's Health |
|---|---|
| Taxonomy | 363Lw0102X |
| Licence No | 200350128NP |
|
Definition: An advanced practice registered nurse expert in specialized healthcare for women with a focus on reproductive health. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 270097 | OR | -- |
Post Comment/ Review Below
What is the Phyllis A Pengelly's 1265468912?
The Phyllis A Pengelly's NPI (National Provider Identifier) Number is 1265468912. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Phyllis A Pengelly is physically located?
The Phyllis A Pengelly is situated at the following address: 3727 Ne Martin Luther King Jr Blvd, Portland, OR 972121112.
What is the Phyllis A Pengelly's specialty and taxonomy code?
The Phyllis A Pengelly's specialty is Women's Health, and the corresponding taxonomy code is 363Lw0102X.
On what date did the Phyllis A Pengelly receive the assignment of its 1265468912 from the Centers for Medicare & Medicaid Services?
The Phyllis A Pengelly was issued its 1265468912 by the Centers for Medicare & Medicaid Services on 2006-06-24.
As of what date were the Phyllis A Pengelly's details last updated?
The information pertaining to the Phyllis A Pengelly, including its address, specialty, and other details, was most recently updated on 2011-11-14.