Scott A Ketaineck is a Clinical in Salem, Oregon. Scott A Ketaineck practices all healthcare services and medical treatments related to Clinical. The NPI Number for Scott A Ketaineck is 1366639536. The last update date is 2014-08-05.
Scott A Ketaineck's current location address is 2600 Center St Ne, Salem, Oregon. You can contact this provider via phone number 5039472863. The mailing address for Scott A Ketaineck is 2600 Center St Ne, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott A Ketaineck |
|---|---|
| Address | 2600 Center St Ne, Salem, Oregon |
| Phone Number | 5039472863 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1366639536 |
|---|---|
| Provider Enumeration Date | 2007-10-01 |
| Last Updated Date | 2014-08-05 |
Provider Mailing Address Detail
| Address | 2600 Center St Ne |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973012669 |
| Phone Number | 5039472863 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2373 |
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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 assigned to Scott A Ketaineck by the Centers for Medicare & Medicaid Services?
The Scott A Ketaineck has been issued the NPI (National Provider Identifier) 1366639536, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Scott A Ketaineck's facilities are geographically located?
The facilities of Scott A Ketaineck are physically situated at the following location: 2600 Center St Ne, Salem, OR, 973012669.
What is Scott A Ketaineck's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Scott A Ketaineck is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Scott A Ketaineck receive its 1366639536 assignment from the Centers for Medicare & Medicaid Services?
The Scott A Ketaineck was assigned its 1366639536 by the Centers for Medicare & Medicaid Services on 2007-10-01.
When was the information related to Scott A Ketaineck most recently updated or refreshed?
The details pertaining to the Scott A Ketaineck, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-08-05.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH