Laura Jo Park is a Mental Health in Portland, Oregon. Laura Jo Park practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Laura Jo Park is 1578786505. The last update date is 2015-01-06.
Laura Jo Park's current location address is P.o. Box 2046, Portland, Oregon. You can contact this provider via phone number 5033888898 and fax number 2099564245. The mailing address for Laura Jo Park is P.o. Box 2046, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Jo Park |
|---|---|
| Address | P.o. Box 2046, Portland, Oregon |
| Phone Number | 5033888898 |
| Fax Number | 2099564245 |
| Sole Proprietor | Y |
| Credentials | L.M.F.T. |
NPI Number Detail
| NPI Number | 1578786505 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2015-01-06 |
Provider Mailing Address Detail
| Address | P.o. Box 2046 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97208 |
| Phone Number | 5033888898 |
| Fax Number | 2099564245 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | IMF 39359 |
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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 issued to Laura Jo Park by the Centers for Medicare & Medicaid Services?
The Laura Jo Park has been assigned the NPI (National Provider Identifier) 1578786505 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Laura Jo Park's physical address?
The Laura Jo Park is physically located at P.O. Box 2046, in the city of Portland, OR, with the postal code 97208.
What is the Laura Jo Park's area of specialization and corresponding taxonomy classification?
The Laura Jo Park's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1578786505 to Laura Jo Park?
The Centers for Medicare & Medicaid Services assigned the 1578786505 to Laura Jo Park on 2007-04-10.
As of what date were the details related to Laura Jo Park most recently updated or revised?
The information pertaining to Laura Jo Park, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-06.
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