Susannah Bock Castle in Portland - Clinical
Susannah Bock Castle - NPI 1194925859
Susannah Bock Castle is a Clinical in Portland, Oregon. Susannah Bock Castle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susannah Bock Castle is 1194925859. The last update date is 2008-06-06.
Susannah Bock Castle's current location address is 5200 Sw Macadam Ave, Portland, Oregon. You can contact this provider via phone number 5039702942. The mailing address for Susannah Bock Castle is 5200 Sw Macadam Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susannah Bock Castle |
|---|---|
| Address | 5200 Sw Macadam Ave, Portland, Oregon |
| Phone Number | 5039702942 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1194925859 |
|---|---|
| Provider Enumeration Date | 2007-07-20 |
| Last Updated Date | 2008-06-06 |
Provider Mailing Address Detail
| Address | 5200 Sw Macadam Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972396103 |
| Phone Number | 5039702942 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1825 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 245831 | OR | -- |
Post Comment/ Review Below
What is the Susannah Bock Castle's 1194925859?
The Susannah Bock Castle's NPI (National Provider Identifier) Number is 1194925859. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Susannah Bock Castle?
The Susannah Bock Castle is situated at 5200 Sw Macadam Ave, in the city of Portland, state of OR, with the zip code 972396103.
What is the area of specialization for Susannah Bock Castle, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susannah Bock Castle is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date was the 1194925859 assigned to Susannah Bock Castle?
The Susannah Bock Castle was issued its 1194925859 on 2007-07-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Susannah Bock Castle most recently updated?
The details pertaining to the Susannah Bock Castle, including its address, specialty, and other relevant information, were last refreshed on 2008-06-06.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA