Mark David Tilson in Portland - Rehabilitation
Mark David Tilson - NPI 1134345523
Mark David Tilson is a Rehabilitation in Portland, Oregon. Mark David Tilson practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Mark David Tilson is 1134345523. The last update date is 2007-07-09.
Mark David Tilson's current location address is 1015 Nw 22nd Ave, Portland, Oregon. You can contact this provider via phone number 5034137662 and fax number 5034138103. The mailing address for Mark David Tilson is 1015 Nw 22nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark David Tilson |
|---|---|
| Address | 1015 Nw 22nd Ave, Portland, Oregon |
| Phone Number | 5034137662 |
| Fax Number | 5034138103 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1134345523 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1015 Nw 22nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972103025 |
| Phone Number | 5034137662 |
| Fax Number | 5034138103 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 103Tr0400X |
| Licence No | 826 |
|
Definition: A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and fu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 79009 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark David Tilson by the Centers for Medicare & Medicaid Services?
The Mark David Tilson has been assigned the NPI (National Provider Identifier) 1134345523 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Mark David Tilson is physically located?
The Mark David Tilson is situated at the following address: 1015 Nw 22Nd Ave, Portland, OR 972103025.
What is Mark David Tilson's area of expertise and its corresponding taxonomy classification?
The Mark David Tilson's field of specialization is Rehabilitation, and it falls under the taxonomy code 103Tr0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mark David Tilson receive its 1134345523 assignment from the Centers for Medicare & Medicaid Services?
The Mark David Tilson was assigned its 1134345523 by the Centers for Medicare & Medicaid Services on 2007-04-17.
As of what date was the information regarding Mark David Tilson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark David Tilson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.
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