Laura Bank Forest is a Clinical in Bend, Oregon. Laura Bank Forest practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laura Bank Forest is 1063672103. The last update date is 2008-06-12.
Laura Bank Forest's current location address is 223 Se Davis Ave, Bend, Oregon. You can contact this provider via phone number 5413171291 and fax number 5413122521. The mailing address for Laura Bank Forest is 223 Se Davis Ave, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Bank Forest |
|---|---|
| Address | 223 Se Davis Ave, Bend, Oregon |
| Phone Number | 5413171291 |
| Fax Number | 5413122521 |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1063672103 |
|---|---|
| Provider Enumeration Date | 2008-06-12 |
| Last Updated Date | 2008-06-12 |
Provider Mailing Address Detail
| Address | 223 Se Davis Ave |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977021333 |
| Phone Number | 5413171291 |
| Fax Number | 5413122521 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2553 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code issued to Laura Bank Forest by the Centers for Medicare & Medicaid Services?
The Laura Bank Forest has been assigned the NPI (National Provider Identifier) 1063672103 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Laura Bank Forest's facilities are geographically located?
The facilities of Laura Bank Forest are physically situated at the following location: 223 Se Davis Ave, Bend, OR, 977021333.
What is Laura Bank Forest'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 Laura Bank Forest is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did Laura Bank Forest receive its 1063672103 assignment from the Centers for Medicare & Medicaid Services?
The Laura Bank Forest was assigned its 1063672103 on 2008-06-12, 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 Laura Bank Forest, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Laura Bank Forest, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-12.
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