Jeff P Koeppel is a Clinical in Cottage Grove, Oregon. Jeff P Koeppel practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeff P Koeppel is 1235298696. The last update date is 2007-07-09.
Jeff P Koeppel's current location address is 410 N 9th St, Cottage Grove, Oregon. You can contact this provider via phone number 5419422850 and fax number 5419421574. The mailing address for Jeff P Koeppel is 410 N 9th St, Cottage Grove, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeff P Koeppel |
|---|---|
| Address | 410 N 9th St, Cottage Grove, Oregon |
| Phone Number | 5419422850 |
| Fax Number | 5419421574 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1235298696 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 410 N 9th St |
|---|---|
| City | Cottage Grove |
| State | Oregon (OR) |
| Post Code | 974241307 |
| Phone Number | 5419422850 |
| Fax Number | 5419421574 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L3908 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19047 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeff P Koeppel by the Centers for Medicare & Medicaid Services?
The Jeff P Koeppel has been issued the NPI (National Provider Identifier) 1235298696, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jeff P Koeppel's physical address?
The Jeff P Koeppel is physically located at 410 N 9Th St, in the city of Cottage Grove, OR, with the postal code 974241307.
What is the area of specialization for Jeff P Koeppel, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeff P Koeppel is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Jeff P Koeppel receive the assignment of its 1235298696 from the Centers for Medicare & Medicaid Services?
The Jeff P Koeppel was issued its 1235298696 by the Centers for Medicare & Medicaid Services on 2006-12-08.
As of what date were the details pertaining to Jeff P Koeppel last refreshed?
The information related to the Jeff P Koeppel, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
NPI Number: 1467434399
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