Marina Badcock is a Professional in Gresham, Oregon. Marina Badcock practices all healthcare services and medical treatments related to Professional. The NPI Number for Marina Badcock is 1518022482. The last update date is 2012-12-19.
Marina Badcock's current location address is 1700 Nw Civic Dr, Gresham, Oregon. You can contact this provider via phone number 5036668832 and fax number 5036698641. The mailing address for Marina Badcock is 1700 Nw Civic Dr, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marina Badcock |
|---|---|
| Address | 1700 Nw Civic Dr, Gresham, Oregon |
| Phone Number | 5036668832 |
| Fax Number | 5036698641 |
| Sole Proprietor | Y |
| Credentials | LPC, NCC |
NPI Number Detail
| NPI Number | 1518022482 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2012-12-19 |
Provider Mailing Address Detail
| Address | 1700 Nw Civic Dr |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970303770 |
| Phone Number | 5036668832 |
| Fax Number | 5036698641 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | C2444 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the Marina Badcock's 1518022482?
The Marina Badcock's NPI (National Provider Identifier) Number is 1518022482. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Marina Badcock located?
The Marina Badcock is located at 1700 Nw Civic Dr, Gresham, OR 970303770.
What is Marina Badcock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marina Badcock's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.
On what date did the Marina Badcock receive the assignment of its 1518022482 from the Centers for Medicare & Medicaid Services?
The Marina Badcock was issued its 1518022482 by the Centers for Medicare & Medicaid Services on 2006-12-22.
As of what date were the details pertaining to Marina Badcock last refreshed?
The information related to the Marina Badcock, including its address, specialty, and other relevant details, was last updated on 2012-12-19.