Marlissa Suzanne Dix in Portland - Mental Health
Marlissa Suzanne Dix - NPI 1063602886
Marlissa Suzanne Dix is a Mental Health in Portland, Oregon. Marlissa Suzanne Dix practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Marlissa Suzanne Dix is 1063602886. The last update date is 2021-12-21.
Marlissa Suzanne Dix's current location address is 500 Ne Multnomah St Ste 100, Portland, Oregon. You can contact this provider via phone number 5038132000. The mailing address for Marlissa Suzanne Dix is 500 Ne Multnomah St Ste 100, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marlissa Suzanne Dix |
|---|---|
| Address | 500 Ne Multnomah St Ste 100, Portland, Oregon |
| Phone Number | 5038132000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1063602886 |
|---|---|
| Provider Enumeration Date | 2007-07-27 |
| Last Updated Date | 2021-12-21 |
Provider Mailing Address Detail
| Address | 500 Ne Multnomah St Ste 100 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972322031 |
| Phone Number | 5038132000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | C2340 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 123190 | OR | -- |
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What is the unique identifier code issued to Marlissa Suzanne Dix by the Centers for Medicare & Medicaid Services?
The Marlissa Suzanne Dix has been assigned the NPI (National Provider Identifier) 1063602886. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Marlissa Suzanne Dix is physically located?
The Marlissa Suzanne Dix is situated at the following address: 500 Ne Multnomah St Ste 100, Portland, OR 972322031.
What is Marlissa Suzanne Dix's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Marlissa Suzanne Dix is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
On what date was the 1063602886 assigned to Marlissa Suzanne Dix?
The Marlissa Suzanne Dix was issued its 1063602886 on 2007-07-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Marlissa Suzanne Dix's details last updated?
The information pertaining to the Marlissa Suzanne Dix, including its address, specialty, and other details, was most recently updated on 2021-12-21.