MICHAEL DAWSON NP NPI 1235408048

NPI Information

NPI: 1235408048
Provider Name: MICHAEL DAWSON, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
5100 SW MACADAM AVE STE 200
PORTLAND, OR
ZIP 97239
Phone: (917) 202-5500
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Michael Dawson, NP is a gerontology nurse practitioner in Portland, OR. Michael Dawson, NP NPI is 1235408048. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5100 SW MACADAM AVE STE 200
PORTLAND, OR
ZIP 97239-827
Phone: (917) 202-5500
Fax: (917) 202-5555

The NPI 1235408048 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/22/2011 and was last updated on 4/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	201806622NP-PP	OREGON	Yes
2	363LG0600X	Nurse Practitioner	Gerontology	340831	NEW YORK	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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