Active NPIIndividual provider

Marcelo Agustin

Nurse's Aide in Portland, Oregon

NPI Number1235538000
Practice location
3415 SE Powell Blvd, Portland, OR 97202-3371
Fax
—
Last updated
August 18, 2014

Marcelo Agustin is a Nurse's Aide based in Portland, OR. The NPI number for Marcelo Agustin is 1235538000 and holds license No. 201220087CMA (OR). The current practice location address is 3415 SE Powell Blvd, Portland, OR 97202-3371 and the office can be reached by phone at 503-234-9591. The NPI was assigned on August 18, 2014 and the record was last updated in NPPES on August 18, 2014.

●Provider Profile Details

NPI Number
1235538000
Provider Name
Marcelo Agustin
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Nurse's Aide · 376K00000X
Sole Proprietor
No
Enumeration Date
August 18, 2014
Last Update Date
August 18, 2014
NPI Status
Active

◉Business Practice Location Address

Address
3415 SE Powell Blvd
Portland, OR 97202-3371
State
Oregon
ZIP
97202-3371
Country
US
Phone Number
503-234-9591

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✉Business Mailing Address

Address
3415 SE Powell Blvd
Portland, OR 97202-3371
City
Portland
State
OR
ZIP
97202-3371
Phone Number
503-234-9591

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse's Aide376K00000XYes201220087CMAOR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Marcelo Agustin?

The NPI number of Marcelo Agustin is 1235538000. It was assigned on August 18, 2014 and is currently active in the NPPES registry.

What is the specialty of Marcelo Agustin?

Marcelo Agustin is registered under the primary taxonomy Nurse's Aide (code 376K00000X) and holds license No. 201220087CMA (OR).

Where does Marcelo Agustin practice?

The practice location is 3415 SE Powell Blvd, Portland, OR 97202-3371. The office can be reached at 503-234-9591 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235538000 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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