Jeremy Joseph Clark in Medford - Mental Health
Jeremy Joseph Clark - NPI 1982772042
Jeremy Joseph Clark is a Mental Health in Medford, Oregon. Jeremy Joseph Clark practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jeremy Joseph Clark is 1982772042. The last update date is 2020-02-11.
Jeremy Joseph Clark's current location address is 3587 Heathrow Way, Medford, Oregon. You can contact this provider via phone number 5418588170 and fax number 5418588167. The mailing address for Jeremy Joseph Clark is 3587 Heathrow Way, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeremy Joseph Clark |
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Address | 3587 Heathrow Way, Medford, Oregon |
Phone Number | 5418588170 |
Fax Number | 5418588167 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1982772042 |
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Provider Enumeration Date | 2006-11-30 |
Last Updated Date | 2020-02-11 |
Provider Mailing Address Detail
Address | 3587 Heathrow Way |
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City | Medford |
State | Oregon (OR) |
Post Code | 975044004 |
Phone Number | 5418588170 |
Fax Number | 5418588167 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code assigned to Jeremy Joseph Clark by the Centers for Medicare & Medicaid Services?
The Jeremy Joseph Clark has been issued the NPI (National Provider Identifier) 1982772042, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jeremy Joseph Clark is located?
The Jeremy Joseph Clark is situated at the following address: 3587 Heathrow Way, Medford, OR, 975044004.
What is the area of specialization for Jeremy Joseph Clark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeremy Joseph Clark is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did the Jeremy Joseph Clark receive the assignment of its 1982772042 from the Centers for Medicare & Medicaid Services?
The Jeremy Joseph Clark was issued its 1982772042 by the Centers for Medicare & Medicaid Services on 2006-11-30.
When was the information regarding Jeremy Joseph Clark most recently updated?
The details pertaining to the Jeremy Joseph Clark, including its address, specialty, and other relevant information, were last refreshed on 2020-02-11.