Silver Falls Dermatology, Llc in Salem - Nurse Practitioner
Silver Falls Dermatology, Llc - NPI 1134375421
Silver Falls Dermatology, Llc is a Nurse Practitioner in Salem, Oregon. Silver Falls Dermatology, Llc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Silver Falls Dermatology, Llc is 1134375421. The last update date is 2021-03-12.
Silver Falls Dermatology, Llc's current location address is 1793 13th St Se, Salem, Oregon. You can contact this provider via phone number 5033628385 and fax number 5033628435. The mailing address for Silver Falls Dermatology, Llc is 1793 13th St Se, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Silver Falls Dermatology, Llc |
|---|---|
| Address | 1793 13th St Se, Salem, Oregon |
| Phone Number | 5033628385 |
| Fax Number | 5033628435 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Young John Russell |
| Credentials | MD |
| Telephone Number | 5033628385 |
NPI Number Detail
| NPI Number | 1134375421 |
|---|---|
| Provider Enumeration Date | 2008-08-18 |
| Last Updated Date | 2021-03-12 |
Provider Mailing Address Detail
| Address | 1793 13th St Se |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973022541 |
| Phone Number | 5033628385 |
| Fax Number | 5033628435 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 247588 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Silver Falls Dermatology, Llc?
The Silver Falls Dermatology, Llc has been issued the NPI (National Provider Identifier) 1134375421 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Silver Falls Dermatology, Llc's facilities are geographically located?
The facilities of Silver Falls Dermatology, Llc are physically situated at the following location: 1793 13Th St Se, Salem, OR, 973022541.
What is Silver Falls Dermatology, Llc's area of expertise and its corresponding taxonomy classification?
The Silver Falls Dermatology, Llc's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1134375421 to Silver Falls Dermatology, Llc?
The Silver Falls Dermatology, Llc received its 1134375421 assignment from the Centers for Medicare & Medicaid Services on 2008-08-18.
As of what date was the information pertaining to Silver Falls Dermatology, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Silver Falls Dermatology, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-12.
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