Mark William Douglass in Clackamas - Addiction (substance Use Disorder)
Mark William Douglass - NPI 1023283660
Mark William Douglass is a Addiction (substance Use Disorder) in Clackamas, Oregon. Mark William Douglass practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mark William Douglass is 1023283660. The last update date is 2023-11-24.
Mark William Douglass's current location address is 10180 Se Sunnyside Rd, Clackamas, Oregon. You can contact this provider via phone number 5035710878 and fax number 5035170866. The mailing address for Mark William Douglass is 10180 Se Sunnyside Rd, Clackamas, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark William Douglass |
|---|---|
| Address | 10180 Se Sunnyside Rd, Clackamas, Oregon |
| Phone Number | 5035710878 |
| Fax Number | 5035170866 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1023283660 |
|---|---|
| Provider Enumeration Date | 2008-04-24 |
| Last Updated Date | 2023-11-24 |
Provider Mailing Address Detail
| Address | 10180 Se Sunnyside Rd |
|---|---|
| City | Clackamas |
| State | Oregon (OR) |
| Post Code | 970158970 |
| Phone Number | 5035710878 |
| Fax Number | 5035170866 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 18-03-14 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the Mark William Douglass's unique identification number?
The Mark William Douglass has been assigned the NPI (National Provider Identifier) Number 1023283660 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Mark William Douglass's facilities are geographically located?
The facilities of Mark William Douglass are physically situated at the following location: 10180 Se Sunnyside Rd, Clackamas, OR, 970158970.
What is Mark William Douglass's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark William Douglass is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Mark William Douglass receive the assignment of its 1023283660 from the Centers for Medicare & Medicaid Services?
The Mark William Douglass was issued its 1023283660 by the Centers for Medicare & Medicaid Services on 2008-04-24.
When was the information pertaining to Mark William Douglass most recently updated or revised?
The details related to Mark William Douglass, including its address, specialty, and other relevant information, were last updated or revised on 2023-11-24.
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