Andrea L Vance in Portland - Clinical

Andrea L Vance - NPI 1689683476

Andrea L Vance is a Clinical in Portland, Oregon. Andrea L Vance practices all healthcare services and medical treatments related to Clinical. The NPI Number for Andrea L Vance is 1689683476. The last update date is 2007-07-08.

Andrea L Vance's current location address is 5405 Ne 10th Ave, Portland, Oregon. You can contact this provider via phone number 5033096975. The mailing address for Andrea L Vance is 5405 Ne 10th Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrea L Vance
Address 5405 Ne 10th Ave, Portland, Oregon
Phone Number 5033096975
Fax Number
Sole Proprietor N
Credentials MSW, LCSW

NPI Number Detail

NPI Number 1689683476
Provider Enumeration Date 2006-08-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5405 Ne 10th Ave
City Portland
State Oregon (OR)
Post Code 972114370
Phone Number 5033096975
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LW00009295
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 Andrea L Vance

What is the unique identifier code issued to Andrea L Vance by the Centers for Medicare & Medicaid Services?

The Andrea L Vance has been assigned the NPI (National Provider Identifier) 1689683476. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Andrea L Vance's physical address?

The Andrea L Vance is physically located at 5405 Ne 10Th Ave, in the city of Portland, OR, with the postal code 972114370.

What is Andrea L Vance's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Andrea L Vance's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Andrea L Vance receive its 1689683476 assignment from the Centers for Medicare & Medicaid Services?

The Andrea L Vance was assigned its 1689683476 by the Centers for Medicare & Medicaid Services on 2006-08-08.

As of what date were the Andrea L Vance's details last updated?

The information pertaining to the Andrea L Vance, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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