Joanna Marie Cullins in Forest Grove - Clinical
Joanna Marie Cullins - NPI 1164648895
Joanna Marie Cullins is a Clinical in Forest Grove, Oregon. Joanna Marie Cullins practices all healthcare services and medical treatments related to Clinical. The NPI Number for Joanna Marie Cullins is 1164648895. The last update date is 2021-03-04.
Joanna Marie Cullins's current location address is 3300 Main St Unit 111, Forest Grove, Oregon. You can contact this provider via phone number 5038942725 and fax number 3603254358. The mailing address for Joanna Marie Cullins is 3300 Main St Unit 111, Forest Grove, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joanna Marie Cullins |
|---|---|
| Address | 3300 Main St Unit 111, Forest Grove, Oregon |
| Phone Number | 5038942725 |
| Fax Number | 3603254358 |
| Sole Proprietor | N |
| Credentials | PSYD. |
NPI Number Detail
| NPI Number | 1164648895 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2021-03-04 |
Provider Mailing Address Detail
| Address | 3300 Main St Unit 111 |
|---|---|
| City | Forest Grove |
| State | Oregon (OR) |
| Post Code | 971163240 |
| Phone Number | 5038942725 |
| Fax Number | 3603254358 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY60482905 |
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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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What is the unique 10-digit identification code issued to Joanna Marie Cullins by the Centers for Medicare & Medicaid Services?
The Joanna Marie Cullins has been assigned the NPI (National Provider Identifier) 1164648895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Joanna Marie Cullins's facilities are geographically located?
The facilities of Joanna Marie Cullins are physically situated at the following location: 3300 Main St Unit 111, Forest Grove, OR, 971163240.
What is Joanna Marie Cullins's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Joanna Marie Cullins is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Joanna Marie Cullins receive the assignment of its 1164648895 from the Centers for Medicare & Medicaid Services?
The Joanna Marie Cullins was issued its 1164648895 by the Centers for Medicare & Medicaid Services on 2007-04-18.
When was the information pertaining to Joanna Marie Cullins most recently updated or revised?
The details related to Joanna Marie Cullins, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-04.