Krista J Hendricks in Corvallis - Student In An Organized Health Care Education/training Program

Krista J Hendricks - NPI 1902028368

Krista J Hendricks is a Student In An Organized Health Care Education/training Program in Corvallis, Oregon. Krista J Hendricks practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Krista J Hendricks is 1902028368. The last update date is 2023-07-24.

Krista J Hendricks's current location address is 3600 Nw Samaritan Dr, Corvallis, Oregon. You can contact this provider via phone number 5417575111. The mailing address for Krista J Hendricks is 3600 Nw Samaritan Dr, Corvallis, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Krista J Hendricks
Address 3600 Nw Samaritan Dr, Corvallis, Oregon
Phone Number 5417575111
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1902028368
Provider Enumeration Date 2007-05-03
Last Updated Date 2023-07-24

Provider Mailing Address Detail

Address 3600 Nw Samaritan Dr
City Corvallis
State Oregon (OR)
Post Code 973305472
Phone Number 5417575111
Fax Number

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Licence No 116017465
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8557464 WA --
500612460 OR --
P00830754 OR RAILROAD MEDICARE

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FAQs about Krista J Hendricks

What is the Krista J Hendricks's unique identification number?

The Krista J Hendricks has been assigned the NPI (National Provider Identifier) Number 1902028368 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Krista J Hendricks is geographically located?

The Krista J Hendricks is physically situated at the following location: 3600 Nw Samaritan Dr, Corvallis, OR, 973305472.

What is Krista J Hendricks's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Krista J Hendricks's specialized field of practice is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this area of specialization is 390200000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1902028368 to Krista J Hendricks?

The Centers for Medicare & Medicaid Services assigned the 1902028368 to Krista J Hendricks on 2007-05-03.

As of what date was the information regarding Krista J Hendricks, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Krista J Hendricks, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-07-24.

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