Chaise Group, Llc is a Clinical in Clackamas, Oregon. Chaise Group, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Chaise Group, Llc is 1073720017. The last update date is 2017-04-19.
Chaise Group, Llc's current location address is 10117 Se Sunnyside Rd, Clackamas, Oregon. You can contact this provider via phone number 5037401971 and fax number 5037712436. The mailing address for Chaise Group, Llc is 10117 Se Sunnyside Rd, Clackamas, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chaise Group, Llc |
|---|---|
| Address | 10117 Se Sunnyside Rd, Clackamas, Oregon |
| Phone Number | 5037401971 |
| Fax Number | 5037712436 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | THERAPIST |
|---|---|
| Authorized Official Name | Krummenacker Lee Michelle |
| Credentials | LCSW |
| Telephone Number | 5037401971 |
NPI Number Detail
| NPI Number | 1073720017 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2017-04-19 |
Provider Mailing Address Detail
| Address | 10117 Se Sunnyside Rd |
|---|---|
| City | Clackamas |
| State | Oregon (OR) |
| Post Code | 970157708 |
| Phone Number | 5037401971 |
| Fax Number | 5037712436 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L3197 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R145204 | OR | PTAN | |
| G8906704 | WA | PTAN |
Post Comment/ Review Below
What is the Chaise Group, Llc's 1073720017?
The Chaise Group, Llc's NPI (National Provider Identifier) Number is 1073720017. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Chaise Group, Llc is located?
The Chaise Group, Llc is situated at the following address: 10117 Se Sunnyside Rd, Clackamas, OR, 970157708.
What is Chaise Group, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Chaise Group, Llc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did Chaise Group, Llc receive its 1073720017 assignment?
The Chaise Group, Llc was assigned its 1073720017 on 2007-05-17, which is the date when this unique identifier was issued to the organization.
When was the Chaise Group, Llc's information last updated?
The Chaise Group, Llc's information was last updated on 2017-04-19.