Jayne Evelyn Statz in Portland - Clinical
Jayne Evelyn Statz - NPI 1992846166
Jayne Evelyn Statz is a Clinical in Portland, Oregon. Jayne Evelyn Statz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jayne Evelyn Statz is 1992846166. The last update date is 2007-07-08.
Jayne Evelyn Statz's current location address is 1962 Nw Kearney St, Portland, Oregon. You can contact this provider via phone number 5032238536 and fax number 5032234271. The mailing address for Jayne Evelyn Statz is 1962 Nw Kearney St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jayne Evelyn Statz |
|---|---|
| Address | 1962 Nw Kearney St, Portland, Oregon |
| Phone Number | 5032238536 |
| Fax Number | 5032234271 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1992846166 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1962 Nw Kearney St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972091400 |
| Phone Number | 5032238536 |
| Fax Number | 5032234271 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 780 |
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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 |
|---|---|---|---|
| 5080302 | KY | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jayne Evelyn Statz by the Centers for Medicare & Medicaid Services?
The Jayne Evelyn Statz has been assigned the NPI (National Provider Identifier) 1992846166 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Jayne Evelyn Statz's physical address?
The Jayne Evelyn Statz is physically located at 1962 Nw Kearney St, in the city of Portland, OR, with the postal code 972091400.
What is Jayne Evelyn Statz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jayne Evelyn Statz's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When was the Jayne Evelyn Statz's 1992846166 issued?
The Jayne Evelyn Statz's 1992846166 was issued on 2007-02-09.
As of what date was the information pertaining to Jayne Evelyn Statz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jayne Evelyn Statz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.