Paula Wagenbach is a Clinical in Portland, Oregon. Paula Wagenbach practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paula Wagenbach is 1497828875. The last update date is 2007-07-08.
Paula Wagenbach's current location address is 1818 Ne Irving St, Portland, Oregon. You can contact this provider via phone number 5034210092. The mailing address for Paula Wagenbach is 1818 Ne Irving St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paula Wagenbach |
|---|---|
| Address | 1818 Ne Irving St, Portland, Oregon |
| Phone Number | 5034210092 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1497828875 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1818 Ne Irving St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972322238 |
| Phone Number | 5034210092 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1575 |
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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 assigned to Paula Wagenbach by the Centers for Medicare & Medicaid Services?
The Paula Wagenbach has been issued the NPI (National Provider Identifier) 1497828875, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Paula Wagenbach?
The Paula Wagenbach is situated at 1818 Ne Irving St, in the city of Portland, state of OR, with the zip code 972322238.
What is Paula Wagenbach's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Paula Wagenbach is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Paula Wagenbach receive the assignment of its 1497828875 from the Centers for Medicare & Medicaid Services?
The Paula Wagenbach was issued its 1497828875 by the Centers for Medicare & Medicaid Services on 2006-11-16.
When was the information pertaining to Paula Wagenbach most recently updated or revised?
The details related to Paula Wagenbach, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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