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 |
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Address | 5405 Ne 10th Ave, Portland, Oregon |
Phone Number | 5033096975 |
Fax Number | |
Sole Proprietor | N |
Credentials | MSW, LCSW |
NPI Number Detail
NPI Number | 1689683476 |
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Provider Enumeration Date | 2006-08-08 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 5405 Ne 10th Ave |
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City | Portland |
State | Oregon (OR) |
Post Code | 972114370 |
Phone Number | 5033096975 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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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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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.