Mary Bogle is a Clinical in Portland, Oregon. Mary Bogle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Bogle is 1083744536. The last update date is 2019-12-03.
Mary Bogle's current location address is 520 Sw 6th Ave, Portland, Oregon. You can contact this provider via phone number 5309178877 and fax number 5302459222. The mailing address for Mary Bogle is 520 Sw 6th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Bogle |
|---|---|
| Address | 520 Sw 6th Ave, Portland, Oregon |
| Phone Number | 5309178877 |
| Fax Number | 5302459222 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1083744536 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2019-12-03 |
Provider Mailing Address Detail
| Address | 520 Sw 6th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972041514 |
| Phone Number | 5309178877 |
| Fax Number | 5302459222 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20469 |
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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 10-digit identification code issued to Mary Bogle by the Centers for Medicare & Medicaid Services?
The Mary Bogle has been assigned the NPI (National Provider Identifier) 1083744536 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Mary Bogle is located?
The Mary Bogle is situated at the following address: 520 Sw 6Th Ave, Portland, OR, 972041514.
What is Mary Bogle's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Bogle's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083744536 to Mary Bogle?
The Mary Bogle received its 1083744536 assignment from the Centers for Medicare & Medicaid Services on 2007-03-06.
When was the information regarding Mary Bogle most recently updated?
The details pertaining to the Mary Bogle, including its address, specialty, and other relevant information, were last refreshed on 2019-12-03.
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