Evgeny I Fedotov

NPI: 1962412510

Evgeny I Fedotov

Q: What is Evgeny I Fedotov's NPI number?

Evgeny I Fedotov's NPI number is 1962412510, a unique 10-digit identifier issued by CMS.

Q: What does Evgeny I Fedotov specialize in?

Evgeny I Fedotov specializes in Specialty not listed, taxonomy code 291U00000X.

Q: Where does Evgeny I Fedotov practice?

Evgeny I Fedotov practices in Portland, OR 97220-1346.

Q: When was Evgeny I Fedotov's NPI issued?

Evgeny I Fedotov's NPI was issued on August 8, 2006.

Q: What is Evgeny I Fedotov's provider type?

Evgeny I Fedotov is an Organization under CMS NPI Type 2.

ActiveOrganizationSpecialty not listed

NPI issued: August 8, 2006

Quick Facts

NPI Number

1962412510

TypeOrganization

StatusActive

SpecialtySpecialty not listed

Taxonomy291U00000X — Specialty not listed

Phone

(503) 756-8159

StateOR

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1962412510)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (August 8, 2006)

Data source: CMS NPPES

Provider Overview

EVGENY I FEDOTOV is a Healthcare provider based in Portland, OR who has been registered with CMS since 2006. They are affiliated with North West Clinical Laboratory. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1962412510

Provider TypeOrganization

StatusActive

Enumeration DateAugust 8, 2006

Practice Location

CityPortland

StateOR

ZIP Code97220-1346

Phone(503) 756-8159

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code291U00000X

License StateOR

Mailing Address

CityPortland

StateOR

ZIP Code97220-1346

Phone(503) 756-8159

Same as practice location

Hospital & Organization Affiliations

🏢

North West Clinical Laboratory

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How to Use This NPI

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For Insurance Billing

Use NPI 1962412510 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1962412510for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1962412510 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Specialty not listedproviders →

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