Susan Lynn Dragovich in Bend - Forensic
Susan Lynn Dragovich - NPI 1477618346
Susan Lynn Dragovich is a Forensic in Bend, Oregon. Susan Lynn Dragovich practices all healthcare services and medical treatments related to Forensic. The NPI Number for Susan Lynn Dragovich is 1477618346. The last update date is 2007-07-08.
Susan Lynn Dragovich's current location address is 1012 Nw Wall Street Suite 260, Bend, Oregon. You can contact this provider via phone number 5413880180 and fax number 5413880180. The mailing address for Susan Lynn Dragovich is 1012 Nw Wall Street Suite 260, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Lynn Dragovich |
|---|---|
| Address | 1012 Nw Wall Street Suite 260, Bend, Oregon |
| Phone Number | 5413880180 |
| Fax Number | 5413880180 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1477618346 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1012 Nw Wall Street Suite 260 |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 97701 |
| Phone Number | 5413880180 |
| Fax Number | 5413880180 |
Provider's Primary Taxonomy Detail
| Speciality | Forensic |
|---|---|
| Taxonomy | 103Tf0200X |
| Licence No | 389 |
|
Definition: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 078535 J25302 | OR | OR OMAP PROVIDER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan Lynn Dragovich?
The Susan Lynn Dragovich has been issued the NPI (National Provider Identifier) 1477618346 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Susan Lynn Dragovich is located?
The Susan Lynn Dragovich is situated at the following address: 1012 Nw Wall Street Suite 260, Bend, OR, 97701.
What is Susan Lynn Dragovich's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan Lynn Dragovich's area of specialization is Forensic, and the corresponding taxonomy code that categorizes this field of practice is 103Tf0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477618346 to Susan Lynn Dragovich?
The Susan Lynn Dragovich received its 1477618346 assignment from the Centers for Medicare & Medicaid Services on 2006-12-22.
As of what date were the details pertaining to Susan Lynn Dragovich last refreshed?
The information related to the Susan Lynn Dragovich, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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