Ross Allen Quackenbush in Salem - Clinical
Ross Allen Quackenbush - NPI 1184615288
Ross Allen Quackenbush is a Clinical in Salem, Oregon. Ross Allen Quackenbush practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ross Allen Quackenbush is 1184615288. The last update date is 2007-07-08.
Ross Allen Quackenbush's current location address is 2493 State St, Salem, Oregon. You can contact this provider via phone number 5035881010 and fax number 5035889424. The mailing address for Ross Allen Quackenbush is 2493 State St, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ross Allen Quackenbush |
|---|---|
| Address | 2493 State St, Salem, Oregon |
| Phone Number | 5035881010 |
| Fax Number | 5035889424 |
| Sole Proprietor | X |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1184615288 |
|---|---|
| Provider Enumeration Date | 2005-10-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2493 State St |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973014543 |
| Phone Number | 5035881010 |
| Fax Number | 5035889424 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1140 |
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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 identifier code issued to Ross Allen Quackenbush by the Centers for Medicare & Medicaid Services (CMS)?
The Ross Allen Quackenbush has been assigned the NPI (National Provider Identifier) 1184615288. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Ross Allen Quackenbush's facilities are geographically located?
The facilities of Ross Allen Quackenbush are physically situated at the following location: 2493 State St, Salem, OR, 973014543.
What is Ross Allen Quackenbush's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ross Allen Quackenbush is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184615288 to Ross Allen Quackenbush?
The Centers for Medicare & Medicaid Services assigned the 1184615288 to Ross Allen Quackenbush on 2005-10-30.
When was the Ross Allen Quackenbush's information last updated?
The Ross Allen Quackenbush's information was last updated on 2007-07-08.
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