Howard Lawrence Deitch in Portland - Clinical

Howard Lawrence Deitch - NPI 1407886021

Howard Lawrence Deitch is a Clinical in Portland, Oregon. Howard Lawrence Deitch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Howard Lawrence Deitch is 1407886021. The last update date is 2007-07-08.

Howard Lawrence Deitch's current location address is 4850 Sw Scholls Ferry Rd Ste 107, Portland, Oregon. You can contact this provider via phone number 5032965260 and fax number 5032965261. The mailing address for Howard Lawrence Deitch is 4850 Sw Scholls Ferry Rd Ste 107, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Howard Lawrence Deitch
Address 4850 Sw Scholls Ferry Rd Ste 107, Portland, Oregon
Phone Number 5032965260
Fax Number 5032965261
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1407886021
Provider Enumeration Date 2006-07-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4850 Sw Scholls Ferry Rd Ste 107
City Portland
State Oregon (OR)
Post Code 972251691
Phone Number 5032965260
Fax Number 5032965261

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 553
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
101055 OR OMAP PROVIDER NUMBER

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FAQs about Howard Lawrence Deitch

What is the Howard Lawrence Deitch's unique identification number?

The Howard Lawrence Deitch has been assigned the NPI (National Provider Identifier) Number 1407886021 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Howard Lawrence Deitch?

The Howard Lawrence Deitch is situated at 4850 Sw Scholls Ferry Rd Ste 107, in the city of Portland, state of OR, with the zip code 972251691.

What is the Howard Lawrence Deitch's specialty and taxonomy code?

The Howard Lawrence Deitch's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1407886021 to Howard Lawrence Deitch?

The Howard Lawrence Deitch received its 1407886021 assignment from the Centers for Medicare & Medicaid Services on 2006-07-03.

As of what date was the information regarding Howard Lawrence Deitch, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Howard Lawrence Deitch, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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