Derenda Marie Schubert in Gresham - Clinical

Derenda Marie Schubert - NPI 1790836245

Derenda Marie Schubert is a Clinical in Gresham, Oregon. Derenda Marie Schubert practices all healthcare services and medical treatments related to Clinical. The NPI Number for Derenda Marie Schubert is 1790836245. The last update date is 2007-07-08.

Derenda Marie Schubert's current location address is 365 Ne Williams Rd, Gresham, Oregon. You can contact this provider via phone number 5036180416. The mailing address for Derenda Marie Schubert is 365 Ne Williams Rd, Gresham, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Derenda Marie Schubert
Address 365 Ne Williams Rd, Gresham, Oregon
Phone Number 5036180416
Fax Number
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1790836245
Provider Enumeration Date 2007-01-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 365 Ne Williams Rd
City Gresham
State Oregon (OR)
Post Code 970301867
Phone Number 5036180416
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 1247
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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FAQs about Derenda Marie Schubert

What is the unique provider identifier assigned to Derenda Marie Schubert?

The Derenda Marie Schubert has been issued the NPI (National Provider Identifier) 1790836245 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Derenda Marie Schubert is geographically located?

The Derenda Marie Schubert is physically situated at the following location: 365 Ne Williams Rd, Gresham, OR, 970301867.

What is Derenda Marie Schubert's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Derenda Marie Schubert's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.

On what date did Derenda Marie Schubert receive its 1790836245 assignment from the Centers for Medicare & Medicaid Services?

The Derenda Marie Schubert was assigned its 1790836245 on 2007-01-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Derenda Marie Schubert most recently updated or revised?

The information pertaining to Derenda Marie Schubert, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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