Darrel Worthley Eacret in Lake Oswego - Psychologist
Darrel Worthley Eacret - NPI 1952380982
Darrel Worthley Eacret is a Psychologist in Lake Oswego, Oregon. Darrel Worthley Eacret practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Darrel Worthley Eacret is 1952380982. The last update date is 2007-07-08.
Darrel Worthley Eacret's current location address is 15964 Lwr. Boones Ferry Rd., Lake Oswego, Oregon. You can contact this provider via phone number 9712265679 and fax number 5036751836. The mailing address for Darrel Worthley Eacret is 15964 Lwr. Boones Ferry Rd., Lake Oswego, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darrel Worthley Eacret |
|---|---|
| Address | 15964 Lwr. Boones Ferry Rd., Lake Oswego, Oregon |
| Phone Number | 9712265679 |
| Fax Number | 5036751836 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1952380982 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15964 Lwr. Boones Ferry Rd. |
|---|---|
| City | Lake Oswego |
| State | Oregon (OR) |
| Post Code | 970354361 |
| Phone Number | 9712265679 |
| Fax Number | 5036751836 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | R0721 |
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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 |
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What is the unique identification code assigned to Darrel Worthley Eacret by the Centers for Medicare & Medicaid Services?
The Darrel Worthley Eacret has been issued the NPI (National Provider Identifier) 1952380982. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Darrel Worthley Eacret?
The Darrel Worthley Eacret is physically situated at 15964 Lwr. Boones Ferry Rd., in the city of Lake Oswego, state of OR, with the postal code 970354361.
What is the Darrel Worthley Eacret's area of specialization and corresponding taxonomy classification?
The Darrel Worthley Eacret's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952380982 to Darrel Worthley Eacret?
The Centers for Medicare & Medicaid Services originally issued the 1952380982 to Darrel Worthley Eacret on 2006-01-10.
When was the information pertaining to Darrel Worthley Eacret most recently updated or revised?
The details related to Darrel Worthley Eacret, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.