Kim Rae Brouhard in Grants Pass - Clinical

Kim Rae Brouhard - NPI 1275657306

Kim Rae Brouhard is a Clinical in Grants Pass, Oregon. Kim Rae Brouhard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kim Rae Brouhard is 1275657306. The last update date is 2007-07-08.

Kim Rae Brouhard's current location address is 1201 Ne 7th St, Grants Pass, Oregon. You can contact this provider via phone number 5419552566. The mailing address for Kim Rae Brouhard is 1201 Ne 7th St, Grants Pass, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim Rae Brouhard
Address 1201 Ne 7th St, Grants Pass, Oregon
Phone Number 5419552566
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1275657306
Provider Enumeration Date 2007-03-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1201 Ne 7th St
City Grants Pass
State Oregon (OR)
Post Code 975261451
Phone Number 5419552566
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1485
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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FAQs about Kim Rae Brouhard

What is the Kim Rae Brouhard's unique identification number?

The Kim Rae Brouhard has been assigned the NPI (National Provider Identifier) Number 1275657306 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Kim Rae Brouhard?

The Kim Rae Brouhard is physically situated at 1201 Ne 7Th St, in the city of Grants Pass, state of OR, with the postal code 975261451.

What is Kim Rae Brouhard's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kim Rae Brouhard is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

When did the Kim Rae Brouhard receive its 1275657306?

The Kim Rae Brouhard was issued its 1275657306 on 2007-03-16, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Kim Rae Brouhard, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kim Rae Brouhard, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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