Paula Lynn Fothergill in Portland - Counselor
Paula Lynn Fothergill - NPI 1700857497
Paula Lynn Fothergill is a Counselor in Portland, Oregon. Paula Lynn Fothergill practices all healthcare services and medical treatments related to Counselor. The NPI Number for Paula Lynn Fothergill is 1700857497. The last update date is 2016-01-06.
Paula Lynn Fothergill's current location address is 1631 Sw Columbia St, Portland, Oregon. You can contact this provider via phone number 5032312641 and fax number 5032311654. The mailing address for Paula Lynn Fothergill is 1631 Sw Columbia St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paula Lynn Fothergill |
|---|---|
| Address | 1631 Sw Columbia St, Portland, Oregon |
| Phone Number | 5032312641 |
| Fax Number | 5032311654 |
| Sole Proprietor | N |
| Credentials | M.S., CADC |
NPI Number Detail
| NPI Number | 1700857497 |
|---|---|
| Provider Enumeration Date | 2006-01-30 |
| Last Updated Date | 2016-01-06 |
Provider Mailing Address Detail
| Address | 1631 Sw Columbia St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972016025 |
| Phone Number | 5032312641 |
| Fax Number | 5032311654 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 04-03-43U |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 126370 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Paula Lynn Fothergill by the Centers for Medicare & Medicaid Services?
The Paula Lynn Fothergill has been assigned the NPI (National Provider Identifier) 1700857497. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Paula Lynn Fothergill is physically located?
The Paula Lynn Fothergill is physically situated at the following address: 1631 Sw Columbia St, Portland, OR, 972016025.
What is Paula Lynn Fothergill's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Paula Lynn Fothergill is Counselor, and the taxonomy code that categorizes this field of expertise is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700857497 to Paula Lynn Fothergill?
The Centers for Medicare & Medicaid Services assigned the 1700857497 to Paula Lynn Fothergill on 2006-01-30.
When was the Paula Lynn Fothergill's information last updated?
The Paula Lynn Fothergill's information was last updated on 2016-01-06.