Miranda M Bass is a Clinical in Portland, Oregon. Miranda M Bass practices all healthcare services and medical treatments related to Clinical. The NPI Number for Miranda M Bass is 1699966945. The last update date is 2021-12-29.
Miranda M Bass's current location address is 5246 N Emerson Dr, Portland, Oregon. You can contact this provider via phone number 5039130507. The mailing address for Miranda M Bass is 5246 N Emerson Dr, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Miranda M Bass |
|---|---|
| Address | 5246 N Emerson Dr, Portland, Oregon |
| Phone Number | 5039130507 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1699966945 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2021-12-29 |
Provider Mailing Address Detail
| Address | 5246 N Emerson Dr |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972174112 |
| Phone Number | 5039130507 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L7238 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Miranda M Bass by the Centers for Medicare & Medicaid Services?
The Miranda M Bass has been issued the NPI (National Provider Identifier) 1699966945 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Miranda M Bass?
The Miranda M Bass is physically situated at 5246 N Emerson Dr, in the city of Portland, state of OR, with the postal code 972174112.
What is Miranda M Bass's specialized field of practice, and what is the corresponding taxonomy classification code?
The Miranda M Bass's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Miranda M Bass receive the assignment of its 1699966945 from the Centers for Medicare & Medicaid Services?
The Miranda M Bass was issued its 1699966945 by the Centers for Medicare & Medicaid Services on 2007-08-01.
When was the information regarding Miranda M Bass, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Miranda M Bass, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-29.