Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | MD09508 | OR |
NPI | 1609944149 |
---|---|
Provider Name | Dr. Ted Charles Pinkert |
First Address | Hillsboro, OR 97123-0310 |
Second Address | Hillsboro, OR 97123-4248 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 09/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
160069 | (05) | OR |
D86799 | (02) |