Northwest Psychological Center Pc in Gladstone - Psychologist

Northwest Psychological Center Pc - NPI 1144201807

Northwest Psychological Center Pc is a Psychologist in Gladstone, Oregon. Northwest Psychological Center Pc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Northwest Psychological Center Pc is 1144201807. The last update date is 2023-01-11.

Northwest Psychological Center Pc's current location address is 15 82nd Dr., Gladstone, Oregon. You can contact this provider via phone number 5036522810 and fax number 5036528553. The mailing address for Northwest Psychological Center Pc is 15 82nd Dr., Gladstone, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northwest Psychological Center Pc
Address 15 82nd Dr., Gladstone, Oregon
Phone Number 5036522810
Fax Number 5036528553
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PSYCHOLOGI
Authorized Official Name Hadeed Ghattas Joseph
Credentials PH.D.
Telephone Number 5036522810

NPI Number Detail

NPI Number 1144201807
Provider Enumeration Date 2005-11-09
Last Updated Date 2023-01-11

Provider Mailing Address Detail

Address 15 82nd Dr.
City Gladstone
State Oregon (OR)
Post Code 970272558
Phone Number 5036522810
Fax Number 5036528553

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 1151
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
72662 OR MANAGED HEALTH NETWORK
89784001 OR REGENCE BC/BS OF OREGON
67517 OR --
OR030417 OR PACIFICARE BEHAVIORAL HEA

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FAQs about Northwest Psychological Center Pc

What is the unique 10-digit identifier code assigned to Northwest Psychological Center Pc by the Centers for Medicare & Medicaid Services?

The Northwest Psychological Center Pc has been issued the NPI (National Provider Identifier) 1144201807 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Northwest Psychological Center Pc's facilities are geographically located?

The facilities of Northwest Psychological Center Pc are physically situated at the following location: 15 82Nd Dr., Gladstone, OR, 970272558.

What is Northwest Psychological Center Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Northwest Psychological Center Pc is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.

When did the Northwest Psychological Center Pc receive its 1144201807?

The Northwest Psychological Center Pc was issued its 1144201807 on 2005-11-09, which is the date when the organization was assigned this unique identifier.

When was the information related to Northwest Psychological Center Pc most recently updated or refreshed?

The details pertaining to the Northwest Psychological Center Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-01-11.

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