Evan King in Portland - Clinical

Evan King - NPI 1023170164

Evan King is a Clinical in Portland, Oregon. Evan King practices all healthcare services and medical treatments related to Clinical. The NPI Number for Evan King is 1023170164. The last update date is 2007-07-08.

Evan King's current location address is 2020 Sw 4th Ave, Portland, Oregon. You can contact this provider via phone number 9712358079. The mailing address for Evan King is 2020 Sw 4th Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Evan King
Address 2020 Sw 4th Ave, Portland, Oregon
Phone Number 9712358079
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1023170164
Provider Enumeration Date 2006-12-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2020 Sw 4th Ave
City Portland
State Oregon (OR)
Post Code 972014953
Phone Number 9712358079
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No L3705
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 Evan King

What is the unique 10-digit identification code assigned to Evan King by the Centers for Medicare & Medicaid Services?

The Evan King has been issued the NPI (National Provider Identifier) 1023170164, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Evan King located?

The Evan King is located at 2020 Sw 4Th Ave, Portland, OR 972014953.

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

The Evan King'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 Evan King receive its 1023170164 assignment from the Centers for Medicare & Medicaid Services?

The Evan King was assigned its 1023170164 by the Centers for Medicare & Medicaid Services on 2006-12-14.

As of what date was the information pertaining to Evan King, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Evan King, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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