Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 162350 | OR |
N | 207X00000X | Orthopaedic Surgeon | 60212440 | WA |
N | 207X00000X | Orthopaedic Surgeon | MD162350 | OR |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 162350 | OR |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 60212440 | WA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD162350 | OR |
NPI | 1659592566 |
---|---|
Provider Name | James Meeker |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 11/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0279956 | LABOR AND INDUSTRIES (01) | WA |
1659592566 | (05) | WA |
8901583 | (02) |