Providence Health & Services Washington in Portland - Psychologist
Providence Health & Services Washington - NPI 1457550840
Providence Health & Services Washington is a Psychologist in Portland, Oregon. Providence Health & Services Washington practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Providence Health & Services Washington is 1457550840. The last update date is 2017-10-30.
Providence Health & Services Washington's current location address is Po Box 3505, Portland, Oregon. You can contact this provider via phone number 4255256717 and fax number 4255256700. The mailing address for Providence Health & Services Washington is Po Box 3505, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health & Services Washington |
|---|---|
| Address | Po Box 3505, Portland, Oregon |
| Phone Number | 4255256717 |
| Fax Number | 4255256700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR R |
|---|---|
| Authorized Official Name | Anderson Wayne Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1457550840 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2017-10-30 |
Provider Mailing Address Detail
| Address | Po Box 3505 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972083505 |
| Phone Number | 4255256717 |
| Fax Number | 4255256700 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 129210 | WA | L&I | |
| 7025166 | WA | -- | |
| 3500063 | WA | MEDICAID INPATIENT | |
| 8901337 | WA | L&I CRIME VICTIMS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Providence Health & Services Washington by the Centers for Medicare & Medicaid Services?
The Providence Health & Services Washington has been assigned the NPI (National Provider Identifier) 1457550840 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Providence Health & Services Washington?
The Providence Health & Services Washington is situated at Po Box 3505, in the city of Portland, state of OR, with the zip code 972083505.
What is the area of specialization for Providence Health & Services Washington, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Providence Health & Services Washington is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Providence Health & Services Washington receive its 1457550840 assignment from the Centers for Medicare & Medicaid Services?
The Providence Health & Services Washington was assigned its 1457550840 by the Centers for Medicare & Medicaid Services on 2007-07-16.
When was the information related to Providence Health & Services Washington most recently updated or refreshed?
The details pertaining to the Providence Health & Services Washington, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-10-30.
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