Mark Pechovnik is a Clinical in Portland, Oregon. Mark Pechovnik practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Pechovnik is 1598955940. The last update date is 2021-03-10.
Mark Pechovnik's current location address is 2030 Ne 47th Ave, Portland, Oregon. You can contact this provider via phone number 5038533532. The mailing address for Mark Pechovnik is 2030 Ne 47th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Pechovnik |
|---|---|
| Address | 2030 Ne 47th Ave, Portland, Oregon |
| Phone Number | 5038533532 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1598955940 |
|---|---|
| Provider Enumeration Date | 2007-07-31 |
| Last Updated Date | 2021-03-10 |
Provider Mailing Address Detail
| Address | 2030 Ne 47th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972132016 |
| Phone Number | 5038533532 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4549 |
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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 Mark Pechovnik by the Centers for Medicare & Medicaid Services?
The Mark Pechovnik has been issued the NPI (National Provider Identifier) 1598955940. 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 Mark Pechovnik?
The Mark Pechovnik is situated at 2030 Ne 47Th Ave, in the city of Portland, state of OR, with the zip code 972132016.
What is Mark Pechovnik's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Pechovnik is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When was the Mark Pechovnik's 1598955940 issued?
The Mark Pechovnik's 1598955940 was issued on 2007-07-31.
As of what date were the details related to Mark Pechovnik most recently updated or revised?
The information pertaining to Mark Pechovnik, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-10.