Devora Moon Holland in Portland - Clinical
Devora Moon Holland - NPI 1982895413
Devora Moon Holland is a Clinical in Portland, Oregon. Devora Moon Holland practices all healthcare services and medical treatments related to Clinical. The NPI Number for Devora Moon Holland is 1982895413. The last update date is 2010-09-30.
Devora Moon Holland's current location address is 5404 N Montana Ave, Portland, Oregon. You can contact this provider via phone number 5033108178 and fax number 5032342326. The mailing address for Devora Moon Holland is 5404 N Montana Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Devora Moon Holland |
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Address | 5404 N Montana Ave, Portland, Oregon |
Phone Number | 5033108178 |
Fax Number | 5032342326 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1982895413 |
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Provider Enumeration Date | 2007-08-08 |
Last Updated Date | 2010-09-30 |
Provider Mailing Address Detail
Address | 5404 N Montana Ave |
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City | Portland |
State | Oregon (OR) |
Post Code | 972174557 |
Phone Number | 5033108178 |
Fax Number | 5032342326 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | L3989 NO 051 |
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 Devora Moon Holland by the Centers for Medicare & Medicaid Services?
The Devora Moon Holland has been assigned the NPI (National Provider Identifier) 1982895413. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Devora Moon Holland is physically located?
The Devora Moon Holland is physically situated at the following address: 5404 N Montana Ave, Portland, OR, 972174557.
What is Devora Moon Holland's specialized field of practice, and what is the corresponding taxonomy classification code?
The Devora Moon Holland's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date was the 1982895413 assigned to Devora Moon Holland?
The Devora Moon Holland was issued its 1982895413 on 2007-08-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Devora Moon Holland most recently updated or revised?
The information pertaining to Devora Moon Holland, including its address, specialty, and other relevant details, was last updated or revised on 2010-09-30.
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