Colette Renee Deleon in Gresham - Clinical
Colette Renee Deleon - NPI 1164566113
Colette Renee Deleon is a Clinical in Gresham, Oregon. Colette Renee Deleon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Colette Renee Deleon is 1164566113. The last update date is 2007-07-09.
Colette Renee Deleon's current location address is 1217 Ne Burnside Rd, Gresham, Oregon. You can contact this provider via phone number 5036668832 and fax number 5036698641. The mailing address for Colette Renee Deleon is 1217 Ne Burnside Rd, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colette Renee Deleon |
|---|---|
| Address | 1217 Ne Burnside Rd, Gresham, Oregon |
| Phone Number | 5036668832 |
| Fax Number | 5036698641 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1164566113 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1217 Ne Burnside Rd |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970306722 |
| Phone Number | 5036668832 |
| Fax Number | 5036698641 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L3792 |
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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 |
|---|---|---|---|
| 164936 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Colette Renee Deleon by the Centers for Medicare & Medicaid Services?
The Colette Renee Deleon has been assigned the NPI (National Provider Identifier) 1164566113 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Colette Renee Deleon's physical address?
The Colette Renee Deleon is physically located at 1217 Ne Burnside Rd, in the city of Gresham, OR, with the postal code 970306722.
What is the area of specialization for Colette Renee Deleon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Colette Renee Deleon is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Colette Renee Deleon receive its 1164566113 assignment from the Centers for Medicare & Medicaid Services?
The Colette Renee Deleon was assigned its 1164566113 on 2007-02-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Colette Renee Deleon last refreshed?
The information related to the Colette Renee Deleon, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
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