New Leaves Clinic Llc in Portland - Psychologist
New Leaves Clinic Llc - NPI 1649475641
New Leaves Clinic Llc is a Psychologist in Portland, Oregon. New Leaves Clinic Llc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for New Leaves Clinic Llc is 1649475641. The last update date is 2020-08-22.
New Leaves Clinic Llc's current location address is 5319 Sw Westgate Dr, Portland, Oregon. You can contact this provider via phone number 5032977223 and fax number 5032977603. The mailing address for New Leaves Clinic Llc is 5319 Sw Westgate Dr, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | New Leaves Clinic Llc |
|---|---|
| Address | 5319 Sw Westgate Dr, Portland, Oregon |
| Phone Number | 5032977223 |
| Fax Number | 5032977603 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Arnold Lynne Cynthia |
| Credentials | PHD |
| Telephone Number | 5032740996 |
NPI Number Detail
| NPI Number | 1649475641 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5319 Sw Westgate Dr |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972212432 |
| Phone Number | 5032977223 |
| Fax Number | 5032977603 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1594 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the New Leaves Clinic Llc's unique identification number?
The New Leaves Clinic Llc has been assigned the NPI (National Provider Identifier) Number 1649475641 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where New Leaves Clinic Llc is located?
The New Leaves Clinic Llc is situated at the following address: 5319 Sw Westgate Dr, Portland, OR, 972212432.
What is New Leaves Clinic Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The New Leaves Clinic Llc's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649475641 to New Leaves Clinic Llc?
The New Leaves Clinic Llc received its 1649475641 assignment from the Centers for Medicare & Medicaid Services on 2007-06-19.
When was the New Leaves Clinic Llc's information last updated?
The New Leaves Clinic Llc's information was last updated on 2020-08-22.
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