Kristin Rebecca Riley in Portland - Clinical
Kristin Rebecca Riley - NPI 1467583476
Kristin Rebecca Riley is a Clinical in Portland, Oregon. Kristin Rebecca Riley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kristin Rebecca Riley is 1467583476. The last update date is 2017-03-01.
Kristin Rebecca Riley's current location address is 4906 Se 50th Ave, Portland, Oregon. You can contact this provider via phone number 5033337844. The mailing address for Kristin Rebecca Riley is 4906 Se 50th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristin Rebecca Riley |
|---|---|
| Address | 4906 Se 50th Ave, Portland, Oregon |
| Phone Number | 5033337844 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1467583476 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2017-03-01 |
Provider Mailing Address Detail
| Address | 4906 Se 50th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972064911 |
| Phone Number | 5033337844 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3460 |
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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 identifier code issued to Kristin Rebecca Riley by the Centers for Medicare & Medicaid Services?
The Kristin Rebecca Riley has been assigned the NPI (National Provider Identifier) 1467583476. 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 physical location address of Kristin Rebecca Riley?
The Kristin Rebecca Riley is physically situated at 4906 Se 50Th Ave, in the city of Portland, state of OR, with the postal code 972064911.
What is Kristin Rebecca Riley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kristin Rebecca Riley is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1467583476 to Kristin Rebecca Riley?
The Centers for Medicare & Medicaid Services assigned the 1467583476 to Kristin Rebecca Riley on 2007-03-08.
When was the information regarding Kristin Rebecca Riley most recently updated?
The details pertaining to the Kristin Rebecca Riley, including its address, specialty, and other relevant information, were last refreshed on 2017-03-01.