Patrick Ethel-King in Portland - Clinical
Patrick Ethel-King - NPI 1205982709
Patrick Ethel-King is a Clinical in Portland, Oregon. Patrick Ethel-King practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patrick Ethel-King is 1205982709. The last update date is 2007-07-08.
Patrick Ethel-King's current location address is 1675 Sw Marlow Ave, Portland, Oregon. You can contact this provider via phone number 5033520240 and fax number 5033520242. The mailing address for Patrick Ethel-King is 1675 Sw Marlow Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrick Ethel-King |
|---|---|
| Address | 1675 Sw Marlow Ave, Portland, Oregon |
| Phone Number | 5033520240 |
| Fax Number | 5033520242 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1205982709 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1675 Sw Marlow Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972255104 |
| Phone Number | 5033520240 |
| Fax Number | 5033520242 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1615 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Patrick Ethel-King?
The Patrick Ethel-King has been issued the NPI (National Provider Identifier) 1205982709 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Patrick Ethel-King?
The Patrick Ethel-King is physically situated at 1675 Sw Marlow Ave, in the city of Portland, state of OR, with the postal code 972255104.
What is Patrick Ethel-King's specialized field of practice, and what is the corresponding taxonomy classification code?
The Patrick Ethel-King's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When was the Patrick Ethel-King's 1205982709 issued?
The Patrick Ethel-King's 1205982709 was issued on 2007-01-26.
As of what date was the information pertaining to Patrick Ethel-King, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Patrick Ethel-King, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.