Chris Albert Petersen in Portland - Surgical
Chris Albert Petersen - NPI 1952393241
Chris Albert Petersen is a Surgical in Portland, Oregon. Chris Albert Petersen practices all healthcare services and medical treatments related to Surgical. The NPI Number for Chris Albert Petersen is 1952393241. The last update date is 2009-08-19.
Chris Albert Petersen's current location address is 975 Se Sandy Blvd, Portland, Oregon. You can contact this provider via phone number 5039632846 and fax number 5039639505. The mailing address for Chris Albert Petersen is 975 Se Sandy Blvd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chris Albert Petersen |
|---|---|
| Address | 975 Se Sandy Blvd, Portland, Oregon |
| Phone Number | 5039632846 |
| Fax Number | 5039639505 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1952393241 |
|---|---|
| Provider Enumeration Date | 2005-08-22 |
| Last Updated Date | 2009-08-19 |
Provider Mailing Address Detail
| Address | 975 Se Sandy Blvd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972141308 |
| Phone Number | 5039632846 |
| Fax Number | 5039639505 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA00211 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 210476 | OR | -- | |
| 8435877 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Chris Albert Petersen by the Centers for Medicare & Medicaid Services (CMS)?
The Chris Albert Petersen has been assigned the NPI (National Provider Identifier) 1952393241. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Chris Albert Petersen located?
The Chris Albert Petersen is located at 975 Se Sandy Blvd, Portland, OR 972141308.
What is Chris Albert Petersen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Chris Albert Petersen is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
On what date did the Chris Albert Petersen receive the assignment of its 1952393241 from the Centers for Medicare & Medicaid Services?
The Chris Albert Petersen was issued its 1952393241 by the Centers for Medicare & Medicaid Services on 2005-08-22.
When was the information regarding Chris Albert Petersen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Chris Albert Petersen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-08-19.
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