Dane M Borg is a Health Service in Portland, Oregon. Dane M Borg practices all healthcare services and medical treatments related to Health Service. The NPI Number for Dane M Borg is 1265558316. The last update date is 2023-06-21.
Dane M Borg's current location address is 847 Ne 19th Ave Ste 150, Portland, Oregon. You can contact this provider via phone number 5032356256 and fax number 5037649646. The mailing address for Dane M Borg is 847 Ne 19th Ave Ste 150, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dane M Borg |
|---|---|
| Address | 847 Ne 19th Ave Ste 150, Portland, Oregon |
| Phone Number | 5032356256 |
| Fax Number | 5037649646 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1265558316 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2023-06-21 |
Provider Mailing Address Detail
| Address | 847 Ne 19th Ave Ste 150 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972322686 |
| Phone Number | 5032356256 |
| Fax Number | 5037649646 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 1578 |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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What is the unique 10-digit identifier code assigned to Dane M Borg by the Centers for Medicare & Medicaid Services?
The Dane M Borg has been issued the NPI (National Provider Identifier) 1265558316 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Dane M Borg is physically located?
The Dane M Borg is physically situated at the following address: 847 Ne 19Th Ave Ste 150, Portland, OR, 972322686.
What is Dane M Borg's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dane M Borg's area of specialization is Health Service, and the corresponding taxonomy code that categorizes this field of practice is 103Th0100X.
On what date did the Dane M Borg receive the assignment of its 1265558316 from the Centers for Medicare & Medicaid Services?
The Dane M Borg was issued its 1265558316 by the Centers for Medicare & Medicaid Services on 2007-03-21.
When was the information related to Dane M Borg most recently updated or refreshed?
The details pertaining to the Dane M Borg, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-06-21.
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