PAUL E. VANBREDAVRIESMAN M.D. – NPI #1043453582
Family Medicine
The NUCC recommends this code not be used. Choose a more appropriate code.
PAUL VANBREDAVRIESMAN is a physician located in GRESHAM, OR. NPPES has assigned the NPI number 1043453582 to PAUL VANBREDAVRIESMAN on April 14, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAUL VANBREDAVRIESMAN below.
NPI Profile for
PAUL E. VANBREDAVRIESMAN
(more than 17 years ago)
GRESHAM, OR 97233 Phone: (503) 255-4243 Fax: (503) 255-4243
18000 SE STARK STREET
PORTLAND, OR 97230-5661 Phone: (503) 255-4243 Fax: (503) 255-4243
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207QA0505X - Family Medicine / Adult Medicine (Primary) |
OR | MD11073 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.