Marilee Dea is a Pediatrics in Portland, Oregon. Marilee Dea practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Marilee Dea is 1609067677. The last update date is 2009-01-06.
Marilee Dea's current location address is 426 Sw Stark St, Portland, Oregon. You can contact this provider via phone number 5039883056 and fax number 5039885182. The mailing address for Marilee Dea is 426 Sw Stark St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilee Dea |
|---|---|
| Address | 426 Sw Stark St, Portland, Oregon |
| Phone Number | 5039883056 |
| Fax Number | 5039885182 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1609067677 |
|---|---|
| Provider Enumeration Date | 2007-08-06 |
| Last Updated Date | 2009-01-06 |
Provider Mailing Address Detail
| Address | 426 Sw Stark St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972042347 |
| Phone Number | 5039883056 |
| Fax Number | 5039885182 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 000030062N2 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 285171 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marilee Dea?
The Marilee Dea has been issued the NPI (National Provider Identifier) 1609067677 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Marilee Dea?
The Marilee Dea is physically situated at 426 Sw Stark St, in the city of Portland, state of OR, with the postal code 972042347.
What is Marilee Dea's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Marilee Dea is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 363Lp0200X.
When did the Marilee Dea receive its 1609067677?
The Marilee Dea was issued its 1609067677 on 2007-08-06, which is the date when the organization was assigned this unique identifier.
As of what date were the Marilee Dea's details last updated?
The information pertaining to the Marilee Dea, including its address, specialty, and other details, was most recently updated on 2009-01-06.
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