Julie D. Frederick in Portland - Clinical
Julie D. Frederick - NPI 1487635363
Julie D. Frederick is a Clinical in Portland, Oregon. Julie D. Frederick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Julie D. Frederick is 1487635363. The last update date is 2015-06-22.
Julie D. Frederick's current location address is 9900 Sw Wilshire St, Portland, Oregon. You can contact this provider via phone number 5038949255 and fax number 5033850343. The mailing address for Julie D. Frederick is 9900 Sw Wilshire St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie D. Frederick |
|---|---|
| Address | 9900 Sw Wilshire St, Portland, Oregon |
| Phone Number | 5038949255 |
| Fax Number | 5033850343 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1487635363 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2015-06-22 |
Provider Mailing Address Detail
| Address | 9900 Sw Wilshire St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972255035 |
| Phone Number | 5038949255 |
| Fax Number | 5033850343 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1006 |
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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 |
|---|---|---|---|
| 35142 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Julie D. Frederick by the Centers for Medicare & Medicaid Services?
The Julie D. Frederick has been assigned the NPI (National Provider Identifier) 1487635363 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Julie D. Frederick?
The Julie D. Frederick is situated at 9900 Sw Wilshire St, in the city of Portland, state of OR, with the zip code 972255035.
What is Julie D. Frederick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Julie D. Frederick's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date was the 1487635363 assigned to Julie D. Frederick?
The Julie D. Frederick was issued its 1487635363 on 2005-11-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Julie D. Frederick's details last updated?
The information pertaining to the Julie D. Frederick, including its address, specialty, and other details, was most recently updated on 2015-06-22.
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