Nathanael Bagley in Portland - Professional
Nathanael Bagley - NPI 1992986319
Nathanael Bagley is a Professional in Portland, Oregon. Nathanael Bagley practices all healthcare services and medical treatments related to Professional. The NPI Number for Nathanael Bagley is 1992986319. The last update date is 2009-10-21.
Nathanael Bagley's current location address is 712 Se Hawthorne Blvd Ste 100, Portland, Oregon. You can contact this provider via phone number 5035455329 and fax number 5033278005. The mailing address for Nathanael Bagley is 712 Se Hawthorne Blvd Ste 100, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nathanael Bagley |
|---|---|
| Address | 712 Se Hawthorne Blvd Ste 100, Portland, Oregon |
| Phone Number | 5035455329 |
| Fax Number | 5033278005 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1992986319 |
|---|---|
| Provider Enumeration Date | 2007-11-14 |
| Last Updated Date | 2009-10-21 |
Provider Mailing Address Detail
| Address | 712 Se Hawthorne Blvd Ste 100 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972143538 |
| Phone Number | 5035455329 |
| Fax Number | 5033278005 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | C2381 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C2381 | OR | OREGON PROFFESSIONAL COUNSELOR |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nathanael Bagley by the Centers for Medicare & Medicaid Services?
The Nathanael Bagley has been assigned the NPI (National Provider Identifier) 1992986319 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Nathanael Bagley?
The Nathanael Bagley is situated at 712 Se Hawthorne Blvd Ste 100, in the city of Portland, state of OR, with the zip code 972143538.
What is the Nathanael Bagley's area of specialization and corresponding taxonomy classification?
The Nathanael Bagley's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.
On what date did the Nathanael Bagley receive its 1992986319 assignment from the Centers for Medicare & Medicaid Services?
The Nathanael Bagley was assigned its 1992986319 by the Centers for Medicare & Medicaid Services on 2007-11-14.
When was the information related to Nathanael Bagley most recently updated or refreshed?
The details pertaining to the Nathanael Bagley, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-10-21.