Chandra M Kowalczyk in Portland - Nurse Anesthetist, Certified Registered
Chandra M Kowalczyk - NPI 1073790507
Chandra M Kowalczyk is a Nurse Anesthetist, Certified Registered in Portland, Oregon. Chandra M Kowalczyk practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Chandra M Kowalczyk is 1073790507. The last update date is 2021-11-29.
Chandra M Kowalczyk's current location address is 3181 Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034947641 and fax number 5034948368. The mailing address for Chandra M Kowalczyk is 3181 Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chandra M Kowalczyk |
|---|---|
| Address | 3181 Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034947641 |
| Fax Number | 5034948368 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1073790507 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2021-11-29 |
Provider Mailing Address Detail
| Address | 3181 Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034947641 |
| Fax Number | 5034948368 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 24167700 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1073790507 | VA | -- | |
| 3810021701 | DC | -- | |
| 414403100 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Chandra M Kowalczyk by the Centers for Medicare & Medicaid Services?
The Chandra M Kowalczyk has been assigned the NPI (National Provider Identifier) 1073790507 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Chandra M Kowalczyk?
The Chandra M Kowalczyk is situated at 3181 Sam Jackson Park Rd, in the city of Portland, state of OR, with the zip code 972393011.
What is the Chandra M Kowalczyk's specialty and taxonomy code?
The Chandra M Kowalczyk's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.
On what date did the Chandra M Kowalczyk receive its 1073790507 assignment from the Centers for Medicare & Medicaid Services?
The Chandra M Kowalczyk was assigned its 1073790507 by the Centers for Medicare & Medicaid Services on 2008-01-28.
When was the information related to Chandra M Kowalczyk most recently updated or refreshed?
The details pertaining to the Chandra M Kowalczyk, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-11-29.
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