Benjamin Matthew Bryan in Grants Pass - Clinical
Benjamin Matthew Bryan - NPI 1306912324
Benjamin Matthew Bryan is a Clinical in Grants Pass, Oregon. Benjamin Matthew Bryan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Benjamin Matthew Bryan is 1306912324. The last update date is 2019-12-27.
Benjamin Matthew Bryan's current location address is 1215 Sw G St, Grants Pass, Oregon. You can contact this provider via phone number 5414762373 and fax number 5417747979. The mailing address for Benjamin Matthew Bryan is 1215 Sw G St, Grants Pass, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Benjamin Matthew Bryan |
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Address | 1215 Sw G St, Grants Pass, Oregon |
Phone Number | 5414762373 |
Fax Number | 5417747979 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1306912324 |
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Provider Enumeration Date | 2006-11-28 |
Last Updated Date | 2019-12-27 |
Provider Mailing Address Detail
Address | 1215 Sw G St |
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City | Grants Pass |
State | Oregon (OR) |
Post Code | 975262544 |
Phone Number | 5414762373 |
Fax Number | 5417747979 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
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 identifier code issued to Benjamin Matthew Bryan by the Centers for Medicare & Medicaid Services (CMS)?
The Benjamin Matthew Bryan has been assigned the NPI (National Provider Identifier) 1306912324. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Benjamin Matthew Bryan's facilities are situated?
The facilities of Benjamin Matthew Bryan are physically located at the following address: 1215 Sw G St, Grants Pass, OR, 975262544.
What is Benjamin Matthew Bryan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Benjamin Matthew Bryan is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Benjamin Matthew Bryan receive the assignment of its 1306912324 from the Centers for Medicare & Medicaid Services?
The Benjamin Matthew Bryan was issued its 1306912324 by the Centers for Medicare & Medicaid Services on 2006-11-28.
When was the Benjamin Matthew Bryan's information last updated?
The Benjamin Matthew Bryan's information was last updated on 2019-12-27.