Jeremy Nicholas Burlingame in Portland - Counselor
Jeremy Nicholas Burlingame - NPI 1437356383
Jeremy Nicholas Burlingame is a Counselor in Portland, Oregon. Jeremy Nicholas Burlingame practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jeremy Nicholas Burlingame is 1437356383. The last update date is 2007-07-08.
Jeremy Nicholas Burlingame's current location address is 4310 Ne Killingsworth St, Portland, Oregon. You can contact this provider via phone number 5035351150 and fax number 5035280800. The mailing address for Jeremy Nicholas Burlingame is 4310 Ne Killingsworth St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Nicholas Burlingame |
|---|---|
| Address | 4310 Ne Killingsworth St, Portland, Oregon |
| Phone Number | 5035351150 |
| Fax Number | 5035280800 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1437356383 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4310 Ne Killingsworth St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972181404 |
| Phone Number | 5035351150 |
| Fax Number | 5035280800 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique identification code assigned to Jeremy Nicholas Burlingame by the Centers for Medicare & Medicaid Services?
The Jeremy Nicholas Burlingame has been issued the NPI (National Provider Identifier) 1437356383. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jeremy Nicholas Burlingame is physically located?
The Jeremy Nicholas Burlingame is situated at the following address: 4310 Ne Killingsworth St, Portland, OR 972181404.
What is the area of specialization for Jeremy Nicholas Burlingame, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeremy Nicholas Burlingame is Counselor, and the corresponding taxonomy code that categorizes this area of expertise is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1437356383 to Jeremy Nicholas Burlingame?
The Centers for Medicare & Medicaid Services assigned the 1437356383 to Jeremy Nicholas Burlingame on 2007-07-02.
When was the information regarding Jeremy Nicholas Burlingame most recently updated?
The details pertaining to the Jeremy Nicholas Burlingame, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.