Jessica L Shackelton in Tillamook - Addiction (substance Use Disorder)
Jessica L Shackelton - NPI 1508032269
Jessica L Shackelton is a Addiction (substance Use Disorder) in Tillamook, Oregon. Jessica L Shackelton practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jessica L Shackelton is 1508032269. The last update date is 2008-05-02.
Jessica L Shackelton's current location address is 906 Main Ave, Tillamook, Oregon. You can contact this provider via phone number 5038428201 and fax number 5038121870. The mailing address for Jessica L Shackelton is 906 Main Ave, Tillamook, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica L Shackelton |
|---|---|
| Address | 906 Main Ave, Tillamook, Oregon |
| Phone Number | 5038428201 |
| Fax Number | 5038121870 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1508032269 |
|---|---|
| Provider Enumeration Date | 2008-05-02 |
| Last Updated Date | 2008-05-02 |
Provider Mailing Address Detail
| Address | 906 Main Ave |
|---|---|
| City | Tillamook |
| State | Oregon (OR) |
| Post Code | 971413816 |
| Phone Number | 5038428201 |
| Fax Number | 5038121870 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 197749 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jessica L Shackelton?
The Jessica L Shackelton has been issued the NPI (National Provider Identifier) 1508032269 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jessica L Shackelton is geographically located?
The Jessica L Shackelton is physically situated at the following location: 906 Main Ave, Tillamook, OR, 971413816.
What is Jessica L Shackelton's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jessica L Shackelton is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Jessica L Shackelton receive the assignment of its 1508032269 from the Centers for Medicare & Medicaid Services?
The Jessica L Shackelton was issued its 1508032269 by the Centers for Medicare & Medicaid Services on 2008-05-02.
As of what date were the Jessica L Shackelton's details last updated?
The information pertaining to the Jessica L Shackelton, including its address, specialty, and other details, was most recently updated on 2008-05-02.
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