Georgia Gayle Wilcox in Portland - Clinical
Georgia Gayle Wilcox - NPI 1710970413
Georgia Gayle Wilcox is a Clinical in Portland, Oregon. Georgia Gayle Wilcox practices all healthcare services and medical treatments related to Clinical. The NPI Number for Georgia Gayle Wilcox is 1710970413. The last update date is 2007-07-08.
Georgia Gayle Wilcox's current location address is 2800 N Vancouver Ave, Portland, Oregon. You can contact this provider via phone number 5034522797 and fax number 5034134898. The mailing address for Georgia Gayle Wilcox is 2800 N Vancouver Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Georgia Gayle Wilcox |
|---|---|
| Address | 2800 N Vancouver Ave, Portland, Oregon |
| Phone Number | 5034522797 |
| Fax Number | 5034134898 |
| Sole Proprietor | X |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1710970413 |
|---|---|
| Provider Enumeration Date | 2005-08-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2800 N Vancouver Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972271630 |
| Phone Number | 5034522797 |
| Fax Number | 5034134898 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1455 |
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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 unique identification code assigned to Georgia Gayle Wilcox by the Centers for Medicare & Medicaid Services?
The Georgia Gayle Wilcox has been issued the NPI (National Provider Identifier) 1710970413. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Georgia Gayle Wilcox located?
The Georgia Gayle Wilcox is located at 2800 N Vancouver Ave, Portland, OR 972271630.
What is Georgia Gayle Wilcox's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Georgia Gayle Wilcox is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Georgia Gayle Wilcox receive the assignment of its 1710970413 from the Centers for Medicare & Medicaid Services?
The Georgia Gayle Wilcox was issued its 1710970413 by the Centers for Medicare & Medicaid Services on 2005-08-26.
When was the information regarding Georgia Gayle Wilcox most recently updated?
The details pertaining to the Georgia Gayle Wilcox, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.