Christine Wilkes Jackson in Portland - Clinical Child & Adolescent
Christine Wilkes Jackson - NPI 1902927783
Christine Wilkes Jackson is a Clinical Child & Adolescent in Portland, Oregon. Christine Wilkes Jackson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Christine Wilkes Jackson is 1902927783. The last update date is 2007-07-09.
Christine Wilkes Jackson's current location address is 516 Se Morrison St, Portland, Oregon. You can contact this provider via phone number 5032342098. The mailing address for Christine Wilkes Jackson is 516 Se Morrison St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christine Wilkes Jackson |
|---|---|
| Address | 516 Se Morrison St, Portland, Oregon |
| Phone Number | 5032342098 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1902927783 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 516 Se Morrison St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972142327 |
| Phone Number | 5032342098 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 1641 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique identification code assigned to Christine Wilkes Jackson by the Centers for Medicare & Medicaid Services?
The Christine Wilkes Jackson has been issued the NPI (National Provider Identifier) 1902927783. This 10-digit code 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 Christine Wilkes Jackson's facilities are geographically located?
The facilities of Christine Wilkes Jackson are physically situated at the following location: 516 Se Morrison St, Portland, OR, 972142327.
What is Christine Wilkes Jackson'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 Christine Wilkes Jackson is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902927783 to Christine Wilkes Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1902927783 to Christine Wilkes Jackson on 2007-04-02.
When was the information pertaining to Christine Wilkes Jackson most recently updated or revised?
The details related to Christine Wilkes Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
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