Judith Emerson is a Clinical in Portland, Oregon. Judith Emerson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith Emerson is 1346254083. The last update date is 2014-12-09.
Judith Emerson's current location address is 1675 Sw Marlow Ave, Portland, Oregon. You can contact this provider via phone number 5039896172. The mailing address for Judith Emerson is 1675 Sw Marlow Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Emerson |
|---|---|
| Address | 1675 Sw Marlow Ave, Portland, Oregon |
| Phone Number | 5039896172 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1346254083 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2014-12-09 |
Provider Mailing Address Detail
| Address | 1675 Sw Marlow Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972255104 |
| Phone Number | 5039896172 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 981 |
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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 |
|---|---|---|---|
| R168884 | OR | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Judith Emerson by the Centers for Medicare & Medicaid Services?
The Judith Emerson has been assigned the NPI (National Provider Identifier) 1346254083 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Judith Emerson is geographically located?
The Judith Emerson is physically situated at the following location: 1675 Sw Marlow Ave, Portland, OR, 972255104.
What is Judith Emerson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Judith Emerson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1346254083 to Judith Emerson?
The Centers for Medicare & Medicaid Services originally issued the 1346254083 to Judith Emerson on 2006-07-28.
When was the Judith Emerson's information last updated?
The Judith Emerson's information was last updated on 2014-12-09.