Macy W Woodside in Lake Oswego - Clinical

Macy W Woodside - NPI 1811089386

Macy W Woodside is a Clinical in Lake Oswego, Oregon. Macy W Woodside practices all healthcare services and medical treatments related to Clinical. The NPI Number for Macy W Woodside is 1811089386. The last update date is 2007-07-08.

Macy W Woodside's current location address is 86 Kingsgate Rd Apt G204, Lake Oswego, Oregon. You can contact this provider via phone number 5035987756. The mailing address for Macy W Woodside is 86 Kingsgate Rd Apt G204, Lake Oswego, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Macy W Woodside
Address 86 Kingsgate Rd Apt G204, Lake Oswego, Oregon
Phone Number 5035987756
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1811089386
Provider Enumeration Date 2006-09-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 86 Kingsgate Rd Apt G204
City Lake Oswego
State Oregon (OR)
Post Code 970352363
Phone Number 5035987756
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 2457
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 Macy W Woodside

What is the unique identifier code issued to Macy W Woodside by the Centers for Medicare & Medicaid Services (CMS)?

The Macy W Woodside has been assigned the NPI (National Provider Identifier) 1811089386. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Macy W Woodside is geographically located?

The Macy W Woodside is physically situated at the following location: 86 Kingsgate Rd Apt G204, Lake Oswego, OR, 970352363.

What is Macy W Woodside's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Macy W Woodside is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1811089386 to Macy W Woodside?

The Centers for Medicare & Medicaid Services originally issued the 1811089386 to Macy W Woodside on 2006-09-29.

When was the information pertaining to Macy W Woodside most recently updated or revised?

The details related to Macy W Woodside, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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