Leslie K Bagon is a Clinical in Scappoose, Oregon. Leslie K Bagon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leslie K Bagon is 1245298280. The last update date is 2013-10-03.
Leslie K Bagon's current location address is 51579 Columbia River Hwy, Scappoose, Oregon. You can contact this provider via phone number 5035436164 and fax number 5035436040. The mailing address for Leslie K Bagon is 51579 Columbia River Hwy, Scappoose, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie K Bagon |
|---|---|
| Address | 51579 Columbia River Hwy, Scappoose, Oregon |
| Phone Number | 5035436164 |
| Fax Number | 5035436040 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1245298280 |
|---|---|
| Provider Enumeration Date | 2006-05-01 |
| Last Updated Date | 2013-10-03 |
Provider Mailing Address Detail
| Address | 51579 Columbia River Hwy |
|---|---|
| City | Scappoose |
| State | Oregon (OR) |
| Post Code | 970568411 |
| Phone Number | 5035436164 |
| Fax Number | 5035436040 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2799 |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Leslie K Bagon by the Centers for Medicare & Medicaid Services?
The Leslie K Bagon has been issued the NPI (National Provider Identifier) 1245298280, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Leslie K Bagon is geographically located?
The Leslie K Bagon is physically situated at the following location: 51579 Columbia River Hwy, Scappoose, OR, 970568411.
What is the Leslie K Bagon's specialty and taxonomy code?
The Leslie K Bagon's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1245298280 assigned to Leslie K Bagon?
The Leslie K Bagon was issued its 1245298280 on 2006-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Leslie K Bagon last refreshed?
The information related to the Leslie K Bagon, including its address, specialty, and other relevant details, was last updated on 2013-10-03.