Petal Griffith in Portland - School

Petal Griffith - NPI 1013119205

Petal Griffith is a School in Portland, Oregon. Petal Griffith practices all healthcare services and medical treatments related to School. The NPI Number for Petal Griffith is 1013119205. The last update date is 2007-07-08.

Petal Griffith's current location address is 3415 Se Powell Blvd, Portland, Oregon. You can contact this provider via phone number 5032054334. The mailing address for Petal Griffith is 3415 Se Powell Blvd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Petal Griffith
Address 3415 Se Powell Blvd, Portland, Oregon
Phone Number 5032054334
Fax Number
Sole Proprietor Y
Credentials BS

NPI Number Detail

NPI Number 1013119205
Provider Enumeration Date 2007-06-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3415 Se Powell Blvd
City Portland
State Oregon (OR)
Post Code 972023371
Phone Number 5032054334
Fax Number

Provider's Primary Taxonomy Detail

Speciality School
Taxonomy 101Ys0200X
Definition:
A counselor who works with students in elementary, middle, and high schools.

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FAQs about Petal Griffith

What is the Petal Griffith's 1013119205?

The Petal Griffith's NPI (National Provider Identifier) Number is 1013119205. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Petal Griffith is physically located?

The Petal Griffith is physically situated at the following address: 3415 Se Powell Blvd, Portland, OR, 972023371.

What is Petal Griffith's specialized field of practice, and what is the corresponding taxonomy classification code?

The Petal Griffith's area of specialization is School, and the corresponding taxonomy code that categorizes this field of practice is 101Ys0200X.

On what date did Petal Griffith receive its 1013119205 assignment from the Centers for Medicare & Medicaid Services?

The Petal Griffith was assigned its 1013119205 on 2007-06-01, 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 Petal Griffith last refreshed?

The information related to the Petal Griffith, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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