Jeanette Marie Larson in Medford - Clinical
Jeanette Marie Larson - NPI 1922032085
Jeanette Marie Larson is a Clinical in Medford, Oregon. Jeanette Marie Larson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeanette Marie Larson is 1922032085. The last update date is 2007-07-08.
Jeanette Marie Larson's current location address is 1237 N Riverside Ave, Medford, Oregon. You can contact this provider via phone number 5417798850 and fax number 5418585441. The mailing address for Jeanette Marie Larson is 1237 N Riverside Ave, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanette Marie Larson |
|---|---|
| Address | 1237 N Riverside Ave, Medford, Oregon |
| Phone Number | 5417798850 |
| Fax Number | 5418585441 |
| Sole Proprietor | N |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1922032085 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1237 N Riverside Ave |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 97501 |
| Phone Number | 5417798850 |
| Fax Number | 5418585441 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | OR1302 |
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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 |
|---|---|---|---|
| 6215 | UBH | ||
| 1458749 | HIPPA |
Post Comment/ Review Below
What is the Jeanette Marie Larson's unique identification number?
The Jeanette Marie Larson has been assigned the NPI (National Provider Identifier) Number 1922032085 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jeanette Marie Larson is physically located?
The Jeanette Marie Larson is situated at the following address: 1237 N Riverside Ave, Medford, OR 97501.
What is the Jeanette Marie Larson's area of specialization and corresponding taxonomy classification?
The Jeanette Marie Larson's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When was the Jeanette Marie Larson's 1922032085 issued?
The Jeanette Marie Larson's 1922032085 was issued on 2006-07-11.
When was the information pertaining to Jeanette Marie Larson most recently updated or revised?
The details related to Jeanette Marie Larson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.