Molly Theurer is a Clinical in Portland, Oregon. Molly Theurer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Molly Theurer is 1053584375. The last update date is 2021-03-12.
Molly Theurer's current location address is 4255 Nw Columbia Ave, Portland, Oregon. You can contact this provider via phone number 8017065559. The mailing address for Molly Theurer is 4255 Nw Columbia Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Molly Theurer |
|---|---|
| Address | 4255 Nw Columbia Ave, Portland, Oregon |
| Phone Number | 8017065559 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1053584375 |
|---|---|
| Provider Enumeration Date | 2008-04-08 |
| Last Updated Date | 2021-03-12 |
Provider Mailing Address Detail
| Address | 4255 Nw Columbia Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972292951 |
| Phone Number | 8017065559 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 7360701-3501 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NONE | NONE |
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What is the unique 10-digit identification code assigned to Molly Theurer by the Centers for Medicare & Medicaid Services?
The Molly Theurer has been issued the NPI (National Provider Identifier) 1053584375, 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 Molly Theurer is physically located?
The Molly Theurer is situated at the following address: 4255 Nw Columbia Ave, Portland, OR 972292951.
What is the Molly Theurer's specialty and taxonomy code?
The Molly Theurer's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053584375 to Molly Theurer?
The Molly Theurer received its 1053584375 assignment from the Centers for Medicare & Medicaid Services on 2008-04-08.
As of what date were the details pertaining to Molly Theurer last refreshed?
The information related to the Molly Theurer, including its address, specialty, and other relevant details, was last updated on 2021-03-12.
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