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NPI Code Detail

MEDICARE: DR. CARL ECKRODE RRT, MPH, PHD

MEDICARE:  DR. CARL  ECKRODE  RRT, MPH, PHD
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
1227900000XRegistered Respiratory TherapistRT-P-336291OR

General Provider Information

NPI Number : 1174050496
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARL ECKRODE RRT, MPH, PHD
Provider Business Mailing Address
First Line : 5833 SE LLOYD ST
Second Line :
City : MILWAUKIE
State : OR
Zip : 97222-2779
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5833 SE LLOYD ST
Second Line :
City : MILWAUKIE
State : OR
Zip : 97222-2779
Country : US
Telephone Number : 503-484-8167
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2017
Last Update Date : 06/16/2018

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Directions to “ DR. CARL ECKRODE RRT, MPH, PHD” Practice Location

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