Gwenn Tiana Cody-Wald in Portland - Clinical
Gwenn Tiana Cody-Wald - NPI 1467616763
Gwenn Tiana Cody-Wald is a Clinical in Portland, Oregon. Gwenn Tiana Cody-Wald practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gwenn Tiana Cody-Wald is 1467616763. The last update date is 2011-04-26.
Gwenn Tiana Cody-Wald's current location address is 819 Se Morrison St Ste 250, Portland, Oregon. You can contact this provider via phone number 5032300518 and fax number 5032001438. The mailing address for Gwenn Tiana Cody-Wald is 819 Se Morrison St Ste 250, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwenn Tiana Cody-Wald |
|---|---|
| Address | 819 Se Morrison St Ste 250, Portland, Oregon |
| Phone Number | 5032300518 |
| Fax Number | 5032001438 |
| Sole Proprietor | N |
| Credentials | MSW, LCSW |
NPI Number Detail
| NPI Number | 1467616763 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2011-04-26 |
Provider Mailing Address Detail
| Address | 819 Se Morrison St Ste 250 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972146315 |
| Phone Number | 5032300518 |
| Fax Number | 5032001438 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2018 |
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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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What is the unique identification code assigned to Gwenn Tiana Cody-Wald by the Centers for Medicare & Medicaid Services?
The Gwenn Tiana Cody-Wald has been issued the NPI (National Provider Identifier) 1467616763. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gwenn Tiana Cody-Wald?
The Gwenn Tiana Cody-Wald is situated at 819 Se Morrison St Ste 250, in the city of Portland, state of OR, with the zip code 972146315.
What is the area of specialization for Gwenn Tiana Cody-Wald, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gwenn Tiana Cody-Wald is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When was the Gwenn Tiana Cody-Wald's 1467616763 issued?
The Gwenn Tiana Cody-Wald's 1467616763 was issued on 2008-07-15.
When was the Gwenn Tiana Cody-Wald's information last updated?
The Gwenn Tiana Cody-Wald's information was last updated on 2011-04-26.