Donald Edward Lange in Portland - Health Service
Donald Edward Lange - NPI 1386722247
Donald Edward Lange is a Health Service in Portland, Oregon. Donald Edward Lange practices all healthcare services and medical treatments related to Health Service. The NPI Number for Donald Edward Lange is 1386722247. The last update date is 2007-07-08.
Donald Edward Lange's current location address is 8040 Sw Capitol Hill Rd, Portland, Oregon. You can contact this provider via phone number 5039779949 and fax number 5032932310. The mailing address for Donald Edward Lange is 8040 Sw Capitol Hill Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald Edward Lange |
|---|---|
| Address | 8040 Sw Capitol Hill Rd, Portland, Oregon |
| Phone Number | 5039779949 |
| Fax Number | 5032932310 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1386722247 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8040 Sw Capitol Hill Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972192670 |
| Phone Number | 5039779949 |
| Fax Number | 5032932310 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 644 |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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What is the unique 10-digit identification code issued to Donald Edward Lange by the Centers for Medicare & Medicaid Services?
The Donald Edward Lange has been assigned the NPI (National Provider Identifier) 1386722247 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Donald Edward Lange?
The Donald Edward Lange is situated at 8040 Sw Capitol Hill Rd, in the city of Portland, state of OR, with the zip code 972192670.
What is the Donald Edward Lange's specialty and taxonomy code?
The Donald Edward Lange's specialty is Health Service, and the corresponding taxonomy code is 103Th0100X.
On what date did Donald Edward Lange receive its 1386722247 assignment from the Centers for Medicare & Medicaid Services?
The Donald Edward Lange was assigned its 1386722247 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Donald Edward Lange, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Donald Edward Lange, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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