Mary M Elsethagen in Boardman - Professional
Mary M Elsethagen - NPI 1336154012
Mary M Elsethagen is a Professional in Boardman, Oregon. Mary M Elsethagen practices all healthcare services and medical treatments related to Professional. The NPI Number for Mary M Elsethagen is 1336154012. The last update date is 2009-11-04.
Mary M Elsethagen's current location address is 101 Nw Boardman Ave., Boardman, Oregon. You can contact this provider via phone number 5414812911. The mailing address for Mary M Elsethagen is 101 Nw Boardman Ave., Boardman, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary M Elsethagen |
|---|---|
| Address | 101 Nw Boardman Ave., Boardman, Oregon |
| Phone Number | 5414812911 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1336154012 |
|---|---|
| Provider Enumeration Date | 2006-07-30 |
| Last Updated Date | 2009-11-04 |
Provider Mailing Address Detail
| Address | 101 Nw Boardman Ave. |
|---|---|
| City | Boardman |
| State | Oregon (OR) |
| Post Code | 97818 |
| Phone Number | 5414812911 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
|
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 |
|---|---|---|---|
| C1782 | OR | LPC |
Post Comment/ Review Below
What is the unique identifier code issued to Mary M Elsethagen by the Centers for Medicare & Medicaid Services?
The Mary M Elsethagen has been assigned the NPI (National Provider Identifier) 1336154012. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mary M Elsethagen is geographically located?
The Mary M Elsethagen is physically situated at the following location: 101 Nw Boardman Ave., Boardman, OR, 97818.
What is the area of specialization for Mary M Elsethagen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary M Elsethagen is Professional, and the corresponding taxonomy code that categorizes this area of expertise is 101Yp2500X.
On what date did Mary M Elsethagen receive its 1336154012 assignment from the Centers for Medicare & Medicaid Services?
The Mary M Elsethagen was assigned its 1336154012 on 2006-07-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mary M Elsethagen last refreshed?
The information related to the Mary M Elsethagen, including its address, specialty, and other relevant details, was last updated on 2009-11-04.
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