John Patrick Heriza in Haines - Clinical

John Patrick Heriza - NPI 1639216443

John Patrick Heriza is a Clinical in Haines, Oregon. John Patrick Heriza practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Patrick Heriza is 1639216443. The last update date is 2007-07-09.

John Patrick Heriza's current location address is 13997 Calley Fisher Ln, Haines, Oregon. You can contact this provider via phone number 5415239539 and fax number 5415239539. The mailing address for John Patrick Heriza is 13997 Calley Fisher Ln, Haines, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name John Patrick Heriza
Address 13997 Calley Fisher Ln, Haines, Oregon
Phone Number 5415239539
Fax Number 5415239539
Sole Proprietor Y
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1639216443
Provider Enumeration Date 2007-01-31
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 13997 Calley Fisher Ln
City Haines
State Oregon (OR)
Post Code 978336368
Phone Number 5415239539
Fax Number 5415239539

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No L3504
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 John Patrick Heriza

What is the John Patrick Heriza's unique identification number?

The John Patrick Heriza has been assigned the NPI (National Provider Identifier) Number 1639216443 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where John Patrick Heriza is geographically located?

The John Patrick Heriza is physically situated at the following location: 13997 Calley Fisher Ln, Haines, OR, 978336368.

What is John Patrick Heriza'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 John Patrick Heriza is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

When did John Patrick Heriza receive its 1639216443 assignment?

The John Patrick Heriza was assigned its 1639216443 on 2007-01-31, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to John Patrick Heriza most recently updated or revised?

The information pertaining to John Patrick Heriza, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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