Jill S Waldman in Portland - Clinical Child & Adolescent

Jill S Waldman - NPI 1932355674

Jill S Waldman is a Clinical Child & Adolescent in Portland, Oregon. Jill S Waldman practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Jill S Waldman is 1932355674. The last update date is 2016-06-14.

Jill S Waldman's current location address is 1130 Sw Morrison St, Portland, Oregon. You can contact this provider via phone number 9712562314 and fax number 5038415389. The mailing address for Jill S Waldman is 1130 Sw Morrison St, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill S Waldman
Address 1130 Sw Morrison St, Portland, Oregon
Phone Number 9712562314
Fax Number 5038415389
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1932355674
Provider Enumeration Date 2008-08-13
Last Updated Date 2016-06-14

Provider Mailing Address Detail

Address 1130 Sw Morrison St
City Portland
State Oregon (OR)
Post Code 972052234
Phone Number 9712562314
Fax Number 5038415389

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 2703
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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FAQs about Jill S Waldman

What is the unique 10-digit identifier code assigned to Jill S Waldman by the Centers for Medicare & Medicaid Services?

The Jill S Waldman has been issued the NPI (National Provider Identifier) 1932355674 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Jill S Waldman is geographically located?

The Jill S Waldman is physically situated at the following location: 1130 Sw Morrison St, Portland, OR, 972052234.

What is the area of specialization for Jill S Waldman, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jill S Waldman is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1932355674 to Jill S Waldman?

The Centers for Medicare & Medicaid Services originally issued the 1932355674 to Jill S Waldman on 2008-08-13.

As of what date were the Jill S Waldman's details last updated?

The information pertaining to the Jill S Waldman, including its address, specialty, and other details, was most recently updated on 2016-06-14.

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