Marian Gunderson is a Clinical in Medford, Oregon. Marian Gunderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marian Gunderson is 1578525812. The last update date is 2007-07-08.
Marian Gunderson's current location address is 1016 Court St, Medford, Oregon. You can contact this provider via phone number 5417767601. The mailing address for Marian Gunderson is 1016 Court St, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marian Gunderson |
|---|---|
| Address | 1016 Court St, Medford, Oregon |
| Phone Number | 5417767601 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1578525812 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1016 Court St |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975015728 |
| Phone Number | 5417767601 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L1777 |
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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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What is the unique identifier code issued to Marian Gunderson by the Centers for Medicare & Medicaid Services (CMS)?
The Marian Gunderson has been assigned the NPI (National Provider Identifier) 1578525812. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Marian Gunderson located?
The Marian Gunderson is located at 1016 Court St, Medford, OR 975015728.
What is Marian Gunderson'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 Marian Gunderson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578525812 to Marian Gunderson?
The Centers for Medicare & Medicaid Services originally issued the 1578525812 to Marian Gunderson on 2006-04-03.
When was the Marian Gunderson's information last updated?
The Marian Gunderson's information was last updated on 2007-07-08.