David Raul Reavis in Salem - Physician Assistant
David Raul Reavis - NPI 1306005681
David Raul Reavis is a Physician Assistant in Salem, Oregon. David Raul Reavis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for David Raul Reavis is 1306005681. The last update date is 2021-06-02.
David Raul Reavis's current location address is 2480 Liberty St Ne, Salem, Oregon. You can contact this provider via phone number 5033997520 and fax number 5033627344. The mailing address for David Raul Reavis is 2480 Liberty St Ne, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Raul Reavis |
|---|---|
| Address | 2480 Liberty St Ne, Salem, Oregon |
| Phone Number | 5033997520 |
| Fax Number | 5033627344 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1306005681 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2021-06-02 |
Provider Mailing Address Detail
| Address | 2480 Liberty St Ne |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973018388 |
| Phone Number | 5033997520 |
| Fax Number | 5033627344 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA01357 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500603869 | OR | -- | |
| 1306005681 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David Raul Reavis by the Centers for Medicare & Medicaid Services (CMS)?
The David Raul Reavis has been assigned the NPI (National Provider Identifier) 1306005681. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where David Raul Reavis is physically located?
The David Raul Reavis is situated at the following address: 2480 Liberty St Ne, Salem, OR 973018388.
What is David Raul Reavis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David Raul Reavis is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306005681 to David Raul Reavis?
The David Raul Reavis received its 1306005681 assignment from the Centers for Medicare & Medicaid Services on 2008-06-03.
When was the information related to David Raul Reavis most recently updated or refreshed?
The details pertaining to the David Raul Reavis, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-06-02.