Jessica Nestler is a Clinical in Portland, Oregon. Jessica Nestler practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jessica Nestler is 1306987573. The last update date is 2007-07-08.
Jessica Nestler's current location address is 5122 Se Hawthorne Blvd, Portland, Oregon. You can contact this provider via phone number 5033512671 and fax number 5038137795. The mailing address for Jessica Nestler is 5122 Se Hawthorne Blvd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Nestler |
|---|---|
| Address | 5122 Se Hawthorne Blvd, Portland, Oregon |
| Phone Number | 5033512671 |
| Fax Number | 5038137795 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1306987573 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5122 Se Hawthorne Blvd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972153302 |
| Phone Number | 5033512671 |
| Fax Number | 5038137795 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW014300 |
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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 Jessica Nestler by the Centers for Medicare & Medicaid Services?
The Jessica Nestler has been issued the NPI (National Provider Identifier) 1306987573. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jessica Nestler's facilities are geographically located?
The facilities of Jessica Nestler are physically situated at the following location: 5122 Se Hawthorne Blvd, Portland, OR, 972153302.
What is Jessica Nestler's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jessica Nestler's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306987573 to Jessica Nestler?
The Jessica Nestler received its 1306987573 assignment from the Centers for Medicare & Medicaid Services on 2007-02-09.
As of what date were the details pertaining to Jessica Nestler last refreshed?
The information related to the Jessica Nestler, including its address, specialty, and other relevant details, was last updated on 2007-07-08.