Bridget Elaine Fanning-Ono in Portland - Clinical
Bridget Elaine Fanning-Ono - NPI 1982774386
Bridget Elaine Fanning-Ono is a Clinical in Portland, Oregon. Bridget Elaine Fanning-Ono practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bridget Elaine Fanning-Ono is 1982774386. The last update date is 2007-11-24.
Bridget Elaine Fanning-Ono's current location address is 1020 Sw Taylor St, Portland, Oregon. You can contact this provider via phone number 5035441868. The mailing address for Bridget Elaine Fanning-Ono is 1020 Sw Taylor St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bridget Elaine Fanning-Ono |
|---|---|
| Address | 1020 Sw Taylor St, Portland, Oregon |
| Phone Number | 5035441868 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1982774386 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2007-11-24 |
Provider Mailing Address Detail
| Address | 1020 Sw Taylor St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972052543 |
| Phone Number | 5035441868 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1629 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1629 | OR | PSYCH. LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bridget Elaine Fanning-Ono by the Centers for Medicare & Medicaid Services?
The Bridget Elaine Fanning-Ono has been assigned the NPI (National Provider Identifier) 1982774386 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Bridget Elaine Fanning-Ono's physical address?
The Bridget Elaine Fanning-Ono is physically located at 1020 Sw Taylor St, in the city of Portland, OR, with the postal code 972052543.
What is the Bridget Elaine Fanning-Ono's area of specialization and corresponding taxonomy classification?
The Bridget Elaine Fanning-Ono's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Bridget Elaine Fanning-Ono receive the assignment of its 1982774386 from the Centers for Medicare & Medicaid Services?
The Bridget Elaine Fanning-Ono was issued its 1982774386 by the Centers for Medicare & Medicaid Services on 2006-11-09.
As of what date was the information pertaining to Bridget Elaine Fanning-Ono, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bridget Elaine Fanning-Ono, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-24.
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