Lynette Christine Spjut in Portland - Medical

Lynette Christine Spjut - NPI 1962694976

Lynette Christine Spjut is a Medical in Portland, Oregon. Lynette Christine Spjut practices all healthcare services and medical treatments related to Medical. The NPI Number for Lynette Christine Spjut is 1962694976. The last update date is 2023-11-21.

Lynette Christine Spjut's current location address is 1111 Ne 99th Ave Ste 200, Portland, Oregon. You can contact this provider via phone number 5039633030 and fax number 5039633140. The mailing address for Lynette Christine Spjut is 1111 Ne 99th Ave Ste 200, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Lynette Christine Spjut
Address 1111 Ne 99th Ave Ste 200, Portland, Oregon
Phone Number 5039633030
Fax Number 5039633140
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1962694976
Provider Enumeration Date 2007-08-14
Last Updated Date 2023-11-21

Provider Mailing Address Detail

Address 1111 Ne 99th Ave Ste 200
City Portland
State Oregon (OR)
Post Code 972209442
Phone Number 5039633030
Fax Number 5039633140

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA01462
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
500607345 OR --
1962694976 WA --

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FAQs about Lynette Christine Spjut

What is the Lynette Christine Spjut's unique identification number?

The Lynette Christine Spjut has been assigned the NPI (National Provider Identifier) Number 1962694976 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 Lynette Christine Spjut is physically located?

The Lynette Christine Spjut is physically situated at the following address: 1111 Ne 99Th Ave Ste 200, Portland, OR, 972209442.

What is Lynette Christine Spjut's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lynette Christine Spjut is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.

On what date was the 1962694976 assigned to Lynette Christine Spjut?

The Lynette Christine Spjut was issued its 1962694976 on 2007-08-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Lynette Christine Spjut last refreshed?

The information related to the Lynette Christine Spjut, including its address, specialty, and other relevant details, was last updated on 2023-11-21.

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