Michelle Jacqueline Blum in Portland - Clinical
Michelle Jacqueline Blum - NPI 1851408272
Michelle Jacqueline Blum is a Clinical in Portland, Oregon. Michelle Jacqueline Blum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michelle Jacqueline Blum is 1851408272. The last update date is 2020-08-24.
Michelle Jacqueline Blum's current location address is 1916 Ne 63rd Ave, Portland, Oregon. You can contact this provider via phone number 9713616330. The mailing address for Michelle Jacqueline Blum is 1916 Ne 63rd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michelle Jacqueline Blum |
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Address | 1916 Ne 63rd Ave, Portland, Oregon |
Phone Number | 9713616330 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MSSW, LCSW |
NPI Number Detail
NPI Number | 1851408272 |
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Provider Enumeration Date | 2006-08-23 |
Last Updated Date | 2020-08-24 |
Provider Mailing Address Detail
Address | 1916 Ne 63rd Ave |
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City | Portland |
State | Oregon (OR) |
Post Code | 972134710 |
Phone Number | 9713616330 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 3010 |
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 10-digit identification code assigned to Michelle Jacqueline Blum by the Centers for Medicare & Medicaid Services?
The Michelle Jacqueline Blum has been issued the NPI (National Provider Identifier) 1851408272, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Michelle Jacqueline Blum is physically located?
The Michelle Jacqueline Blum is situated at the following address: 1916 Ne 63Rd Ave, Portland, OR 972134710.
What is Michelle Jacqueline Blum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michelle Jacqueline Blum is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851408272 to Michelle Jacqueline Blum?
The Centers for Medicare & Medicaid Services originally issued the 1851408272 to Michelle Jacqueline Blum on 2006-08-23.
When was the information regarding Michelle Jacqueline Blum most recently updated?
The details pertaining to the Michelle Jacqueline Blum, including its address, specialty, and other relevant information, were last refreshed on 2020-08-24.