Ken J. Brinker is a Health Service in Portland, Oregon. Ken J. Brinker practices all healthcare services and medical treatments related to Health Service. The NPI Number for Ken J. Brinker is 1831316835. The last update date is 2007-07-08.
Ken J. Brinker's current location address is 722 Ne 162nd Ave, Portland, Oregon. You can contact this provider via phone number 5034085016. The mailing address for Ken J. Brinker is 722 Ne 162nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ken J. Brinker |
|---|---|
| Address | 722 Ne 162nd Ave, Portland, Oregon |
| Phone Number | 5034085016 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1831316835 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 722 Ne 162nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972305760 |
| Phone Number | 5034085016 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Ken J. Brinker by the Centers for Medicare & Medicaid Services (CMS)?
The Ken J. Brinker has been assigned the NPI (National Provider Identifier) 1831316835. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Ken J. Brinker's physical address?
The Ken J. Brinker is physically located at 722 Ne 162Nd Ave, in the city of Portland, OR, with the postal code 972305760.
What is Ken J. Brinker'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 Ken J. Brinker is Health Service, and the taxonomy classification code that categorizes this area of expertise is 103Th0100X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831316835 to Ken J. Brinker?
The Ken J. Brinker received its 1831316835 assignment from the Centers for Medicare & Medicaid Services on 2007-04-19.
When was the information related to Ken J. Brinker most recently updated or refreshed?
The details pertaining to the Ken J. Brinker, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
Address: Po Box 1289, Tampa, FL
Address: 1917 Trixie Ln, Houston, TX
Address: 2734 Chancellor Dr, Crestview Hills, KY
Address: 1438 W 38th St, Erie, PA
Address: 1904 W. Royale Dr., Muncie, IN
Address: 1531 E Bradford Pkwy, Springfield, MO
Address: 12 Hawk St, Spring Valley, NY
Address: 218 W Main St, Hyannis, MA
Address: 210 Tower Rd, Villanova, PA
Address: 11124 Wurzbach Rd, San Antonio, TX
Address: 46 Sound Court, Surf City, NC
Address: 12499 Brantley Commons Ct, Fort Myers, FL
Address: 6550 W Olympic Blvd, Los Angeles, CA
Address: Po Box 1590, Dennis Port, MA
Address: 6626 E 75th Street, Indianapolis, IN