Marlen Shirley Conrad in Portland - Clinical
Marlen Shirley Conrad - NPI 1003922741
Marlen Shirley Conrad is a Clinical in Portland, Oregon. Marlen Shirley Conrad practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marlen Shirley Conrad is 1003922741. The last update date is 2007-07-08.
Marlen Shirley Conrad's current location address is 1962 Nw Kearney St, Portland, Oregon. You can contact this provider via phone number 5036507240 and fax number 5033317196. The mailing address for Marlen Shirley Conrad is 1962 Nw Kearney St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marlen Shirley Conrad |
|---|---|
| Address | 1962 Nw Kearney St, Portland, Oregon |
| Phone Number | 5036507240 |
| Fax Number | 5033317196 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1003922741 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| 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 | 5036507240 |
| Fax Number | 5033317196 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1693 |
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Post Comment/ Review Below
What is the unique identification code assigned to Marlen Shirley Conrad by the Centers for Medicare & Medicaid Services?
The Marlen Shirley Conrad has been issued the NPI (National Provider Identifier) 1003922741. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Marlen Shirley Conrad's facilities are situated?
The facilities of Marlen Shirley Conrad are physically located at the following address: 1962 Nw Kearney St, Portland, OR, 972091400.
What is the Marlen Shirley Conrad's area of specialization and corresponding taxonomy classification?
The Marlen Shirley Conrad's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Marlen Shirley Conrad receive the assignment of its 1003922741 from the Centers for Medicare & Medicaid Services?
The Marlen Shirley Conrad was issued its 1003922741 by the Centers for Medicare & Medicaid Services on 2006-08-23.
When was the information regarding Marlen Shirley Conrad most recently updated?
The details pertaining to the Marlen Shirley Conrad, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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