Carol Lynne Sticker in Portland - Medical
Carol Lynne Sticker - NPI 1639375405
Carol Lynne Sticker is a Medical in Portland, Oregon. Carol Lynne Sticker practices all healthcare services and medical treatments related to Medical. The NPI Number for Carol Lynne Sticker is 1639375405. The last update date is 2021-03-22.
Carol Lynne Sticker's current location address is 847 Ne 19th Ave Ste 300, Portland, Oregon. You can contact this provider via phone number 5039632801 and fax number 5039632825. The mailing address for Carol Lynne Sticker is 847 Ne 19th Ave Ste 300, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Lynne Sticker |
|---|---|
| Address | 847 Ne 19th Ave Ste 300, Portland, Oregon |
| Phone Number | 5039632801 |
| Fax Number | 5039632825 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1639375405 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2021-03-22 |
Provider Mailing Address Detail
| Address | 847 Ne 19th Ave Ste 300 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972322686 |
| Phone Number | 5039632801 |
| Fax Number | 5039632825 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA194156 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500605459 | OR | -- | |
| 2000682 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Carol Lynne Sticker by the Centers for Medicare & Medicaid Services?
The Carol Lynne Sticker has been assigned the NPI (National Provider Identifier) 1639375405 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Carol Lynne Sticker?
The Carol Lynne Sticker is physically situated at 847 Ne 19Th Ave Ste 300, in the city of Portland, state of OR, with the postal code 972322686.
What is Carol Lynne Sticker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carol Lynne Sticker's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
When did the Carol Lynne Sticker receive its 1639375405?
The Carol Lynne Sticker was issued its 1639375405 on 2007-06-26, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Carol Lynne Sticker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Carol Lynne Sticker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-03-22.
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