Ricks Warren Ph.D., Abpp, Pc in Lake Oswego - Clinical
Ricks Warren Ph.D., Abpp, Pc - NPI 1205023645
Ricks Warren Ph.D., Abpp, Pc is a Clinical in Lake Oswego, Oregon. Ricks Warren Ph.D., Abpp, Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ricks Warren Ph.D., Abpp, Pc is 1205023645. The last update date is 2007-10-01.
Ricks Warren Ph.D., Abpp, Pc's current location address is 4550 S.w. Kruse Way #225, Lake Oswego, Oregon. You can contact this provider via phone number 5036358710 and fax number 5036350583. The mailing address for Ricks Warren Ph.D., Abpp, Pc is 4550 S.w. Kruse Way #225, Lake Oswego, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ricks Warren Ph.D., Abpp, Pc |
|---|---|
| Address | 4550 S.w. Kruse Way #225, Lake Oswego, Oregon |
| Phone Number | 5036358710 |
| Fax Number | 5036350583 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Warren Ricks |
| Credentials | PH.D. |
| Telephone Number | 5036358710 |
NPI Number Detail
| NPI Number | 1205023645 |
|---|---|
| Provider Enumeration Date | 2007-10-01 |
| Last Updated Date | 2007-10-01 |
Provider Mailing Address Detail
| Address | 4550 S.w. Kruse Way #225 |
|---|---|
| City | Lake Oswego |
| State | Oregon (OR) |
| Post Code | 97035 |
| Phone Number | 5036358710 |
| Fax Number | 5036350583 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 422 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Ricks Warren Ph.D., Abpp, Pc's unique identification number?
The Ricks Warren Ph.D., Abpp, Pc has been assigned the NPI (National Provider Identifier) Number 1205023645 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Ricks Warren Ph.D., Abpp, Pc's physical address?
The Ricks Warren Ph.D., Abpp, Pc is physically located at 4550 S.W. Kruse Way #225, in the city of Lake Oswego, OR, with the postal code 97035.
What is the Ricks Warren Ph.D., Abpp, Pc's specialty and taxonomy code?
The Ricks Warren Ph.D., Abpp, Pc's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205023645 to Ricks Warren Ph.D., Abpp, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1205023645 to Ricks Warren Ph.D., Abpp, Pc on 2007-10-01.
When was the Ricks Warren Ph.D., Abpp, Pc's information last updated?
The Ricks Warren Ph.D., Abpp, Pc's information was last updated on 2007-10-01.
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