Northwest Child And Family Clinic, P.C. in Vancouver - Clinical

Northwest Child And Family Clinic, P.C. - NPI 1902927478

Northwest Child And Family Clinic, P.C. is a Clinical in Vancouver, Washington. Northwest Child And Family Clinic, P.C. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Northwest Child And Family Clinic, P.C. is 1902927478. The last update date is 2008-03-07.

Northwest Child And Family Clinic, P.C.'s current location address is 14619 Ne 82nd Ave, Vancouver, Washington. You can contact this provider via phone number 5036364333. The mailing address for Northwest Child And Family Clinic, P.C. is 14619 Ne 82nd Ave, Vancouver, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northwest Child And Family Clinic, P.C.
Address 14619 Ne 82nd Ave, Vancouver, Washington
Phone Number 5036364333
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Gavora Bast Sharon
Credentials PSY.D.
Telephone Number 5036364333

NPI Number Detail

NPI Number 1902927478
Provider Enumeration Date 2007-04-03
Last Updated Date 2008-03-07

Provider Mailing Address Detail

Address 14619 Ne 82nd Ave
City Vancouver
State Washington (WA)
Post Code 986621057
Phone Number 5036364333
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 1373
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 Northwest Child And Family Clinic, P.C.

What is the unique identifier code issued to Northwest Child And Family Clinic, P.C. by the Centers for Medicare & Medicaid Services (CMS)?

The Northwest Child And Family Clinic, P.C. has been assigned the NPI (National Provider Identifier) 1902927478. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Northwest Child And Family Clinic, P.C.'s facilities are geographically located?

The facilities of Northwest Child And Family Clinic, P.C. are physically situated at the following location: 14619 Ne 82Nd Ave, Vancouver, WA, 986621057.

What is the Northwest Child And Family Clinic, P.C.'s specialty and taxonomy code?

The Northwest Child And Family Clinic, P.C.'s specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1902927478 to Northwest Child And Family Clinic, P.C.?

The Northwest Child And Family Clinic, P.C. received its 1902927478 assignment from the Centers for Medicare & Medicaid Services on 2007-04-03.

When was the Northwest Child And Family Clinic, P.C.'s information last updated?

The Northwest Child And Family Clinic, P.C.'s information was last updated on 2008-03-07.

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