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NPI Code Detail

MEDICARE: DR. CLAIRE E KING MD

MEDICARE: DR. CLAIRE E KING MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician41527CO
2207Q00000XFamily Medicine PhysicianMD27164OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316940919
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLAIRE E KING MD
Provider Business Mailing Address
First Line : 1375 N 10TH AVE
Second Line : SUITE B
City : STAYTON
State : OR
Zip : 97383-2099
Country : US
Telephone Number : 503-769-7546
Fax Number : 503-769-8563
Provider Business Practice Location Address
First Line : 1375 N 10TH AVE
Second Line : SUITE B
City : STAYTON
State : OR
Zip : 97383-2099
Country : US
Telephone Number : 503-769-7151
Fax Number : 503-769-8563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 04/23/2012

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Directions to “ DR. CLAIRE E KING MD” Practice Location

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