Kushanthi Surini Samaratunge in Tigard - Psychologist

Kushanthi Surini Samaratunge - NPI 1265605133

Kushanthi Surini Samaratunge is a Psychologist in Tigard, Oregon. Kushanthi Surini Samaratunge practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kushanthi Surini Samaratunge is 1265605133. The last update date is 2015-07-22.

Kushanthi Surini Samaratunge's current location address is 7455 Sw Beveland Rd, Tigard, Oregon. You can contact this provider via phone number 5036242600 and fax number 5036247752. The mailing address for Kushanthi Surini Samaratunge is 7455 Sw Beveland Rd, Tigard, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Kushanthi Surini Samaratunge
Address 7455 Sw Beveland Rd, Tigard, Oregon
Phone Number 5036242600
Fax Number 5036247752
Sole Proprietor N
Credentials PSYD

NPI Number Detail

NPI Number 1265605133
Provider Enumeration Date 2008-04-10
Last Updated Date 2015-07-22

Provider Mailing Address Detail

Address 7455 Sw Beveland Rd
City Tigard
State Oregon (OR)
Post Code 972238610
Phone Number 5036242600
Fax Number 5036247752

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 2628
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
210855 OR --

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FAQs about Kushanthi Surini Samaratunge

What is the unique 10-digit identifier code issued to Kushanthi Surini Samaratunge by the Centers for Medicare & Medicaid Services?

The Kushanthi Surini Samaratunge has been assigned the NPI (National Provider Identifier) 1265605133 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Kushanthi Surini Samaratunge is physically located?

The Kushanthi Surini Samaratunge is situated at the following address: 7455 Sw Beveland Rd, Tigard, OR 972238610.

What is the Kushanthi Surini Samaratunge's area of specialization and corresponding taxonomy classification?

The Kushanthi Surini Samaratunge's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1265605133 to Kushanthi Surini Samaratunge?

The Centers for Medicare & Medicaid Services assigned the 1265605133 to Kushanthi Surini Samaratunge on 2008-04-10.

As of what date were the details related to Kushanthi Surini Samaratunge most recently updated or revised?

The information pertaining to Kushanthi Surini Samaratunge, including its address, specialty, and other relevant details, was last updated or revised on 2015-07-22.

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