Jerry Lee Edin in Springfield - Mental Health
Jerry Lee Edin - NPI 1851474381
Jerry Lee Edin is a Mental Health in Springfield, Oregon. Jerry Lee Edin practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jerry Lee Edin is 1851474381. The last update date is 2007-07-08.
Jerry Lee Edin's current location address is 525 S 57th Pl, Springfield, Oregon. You can contact this provider via phone number 5417462333. The mailing address for Jerry Lee Edin is 525 S 57th Pl, Springfield, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Lee Edin |
|---|---|
| Address | 525 S 57th Pl, Springfield, Oregon |
| Phone Number | 5417462333 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS |
NPI Number Detail
| NPI Number | 1851474381 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 525 S 57th Pl |
|---|---|
| City | Springfield |
| State | Oregon (OR) |
| Post Code | 974785410 |
| Phone Number | 5417462333 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | C0250 |
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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 Jerry Lee Edin by the Centers for Medicare & Medicaid Services?
The Jerry Lee Edin has been assigned the NPI (National Provider Identifier) 1851474381 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jerry Lee Edin?
The Jerry Lee Edin is physically situated at 525 S 57Th Pl, in the city of Springfield, state of OR, with the postal code 974785410.
What is the Jerry Lee Edin's specialty and taxonomy code?
The Jerry Lee Edin's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Jerry Lee Edin receive the assignment of its 1851474381 from the Centers for Medicare & Medicaid Services?
The Jerry Lee Edin was issued its 1851474381 by the Centers for Medicare & Medicaid Services on 2006-10-20.
As of what date were the Jerry Lee Edin's details last updated?
The information pertaining to the Jerry Lee Edin, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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