Bonnie Jean Nagel in Portland - Clinical Neuropsychologist

Bonnie Jean Nagel - NPI 1508083338

Bonnie Jean Nagel is a Clinical Neuropsychologist in Portland, Oregon. Bonnie Jean Nagel practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Bonnie Jean Nagel is 1508083338. The last update date is 2007-07-08.

Bonnie Jean Nagel's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034944612 and fax number 5034185774. The mailing address for Bonnie Jean Nagel is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Bonnie Jean Nagel
Address 3181 Sw Sam Jackson Park Rd, Portland, Oregon
Phone Number 5034944612
Fax Number 5034185774
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1508083338
Provider Enumeration Date 2007-04-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3181 Sw Sam Jackson Park Rd
City Portland
State Oregon (OR)
Post Code 972393011
Phone Number 5034944612
Fax Number 5034185774

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No 1715
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

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FAQs about Bonnie Jean Nagel

What is the unique 10-digit identification code assigned to Bonnie Jean Nagel by the Centers for Medicare & Medicaid Services?

The Bonnie Jean Nagel has been issued the NPI (National Provider Identifier) 1508083338, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Bonnie Jean Nagel's facilities are situated?

The facilities of Bonnie Jean Nagel are physically located at the following address: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.

What is Bonnie Jean Nagel's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Bonnie Jean Nagel is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.

On what date did the Bonnie Jean Nagel receive its 1508083338 assignment from the Centers for Medicare & Medicaid Services?

The Bonnie Jean Nagel was assigned its 1508083338 by the Centers for Medicare & Medicaid Services on 2007-04-20.

When was the information regarding Bonnie Jean Nagel, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Bonnie Jean Nagel, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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