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NPI Code Detail

MEDICARE: DR. CYAANDI RHONE DOVE D.P.M.

MEDICARE: DR. CYAANDI RHONE DOVE D.P.M.
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
1213E00000XPodiatristN005845NY
2213EP1101XPrimary Podiatric Medicine Podiatrist0602NV
3213E00000XPodiatristDP223397OR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00615727OTHERNVRAILROAD MEDICARE PART B

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1N005845OTHERNYN.Y PODIATR. MED. LICENS
30602OTHERNVNEVADA LICENSE
45849640001OTHERNVDME

General Provider Information

NPI Number : 1750490553
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYAANDI RHONE DOVE D.P.M.
Provider Business Mailing Address
First Line : 9605 GRAND RONDE RD
Second Line :
City : GRAND RONDE
State : OR
Zip : 97347-9712
Country : US
Telephone Number : 503-879-2002
Fax Number : 503-879-2071
Provider Business Practice Location Address
First Line : 9605 GRAND RONDE RD
Second Line :
City : GRAND RONDE
State : OR
Zip : 97347-9712
Country : US
Telephone Number : 503-879-2002
Fax Number : 503-879-2071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 09/25/2025

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