David Opollo Ross is a Clinical in Vancouver, Washington. David Opollo Ross practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Opollo Ross is 1477655454. The last update date is 2020-12-28.
David Opollo Ross's current location address is 6715 Ne 63rd St # 277, Vancouver, Washington. You can contact this provider via phone number 7024999220. The mailing address for David Opollo Ross is 6715 Ne 63rd St # 277, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Opollo Ross |
|---|---|
| Address | 6715 Ne 63rd St # 277, Vancouver, Washington |
| Phone Number | 7024999220 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1477655454 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2020-12-28 |
Provider Mailing Address Detail
| Address | 6715 Ne 63rd St # 277 |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986611980 |
| Phone Number | 7024999220 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY0448 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2602223 | NV | -- |
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What is the unique identifier code issued to David Opollo Ross by the Centers for Medicare & Medicaid Services?
The David Opollo Ross has been assigned the NPI (National Provider Identifier) 1477655454. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where David Opollo Ross is physically located?
The David Opollo Ross is physically situated at the following address: 6715 Ne 63Rd St # 277, Vancouver, WA, 986611980.
What is David Opollo Ross's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Opollo Ross's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date was the 1477655454 assigned to David Opollo Ross?
The David Opollo Ross was issued its 1477655454 on 2006-09-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to David Opollo Ross most recently updated or revised?
The information pertaining to David Opollo Ross, including its address, specialty, and other relevant details, was last updated or revised on 2020-12-28.