Myron J George is a Clinical in Gresham, Oregon. Myron J George practices all healthcare services and medical treatments related to Clinical. The NPI Number for Myron J George is 1497791123. The last update date is 2020-10-01.
Myron J George's current location address is 620 Ne 2nd St, Gresham, Oregon. You can contact this provider via phone number 9712743757 and fax number 5039125740. The mailing address for Myron J George is 620 Ne 2nd St, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Myron J George |
|---|---|
| Address | 620 Ne 2nd St, Gresham, Oregon |
| Phone Number | 9712743757 |
| Fax Number | 5039125740 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1497791123 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2020-10-01 |
Provider Mailing Address Detail
| Address | 620 Ne 2nd St |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 97030 |
| Phone Number | 9712743757 |
| Fax Number | 5039125740 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L1188 |
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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 |
|---|---|---|---|
| 500646551 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Myron J George by the Centers for Medicare & Medicaid Services?
The Myron J George has been assigned the NPI (National Provider Identifier) 1497791123 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Myron J George?
The Myron J George is physically situated at 620 Ne 2Nd St, in the city of Gresham, state of OR, with the postal code 97030.
What is Myron J George's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Myron J George is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Myron J George receive its 1497791123 assignment from the Centers for Medicare & Medicaid Services?
The Myron J George was assigned its 1497791123 by the Centers for Medicare & Medicaid Services on 2006-06-21.
When was the information related to Myron J George most recently updated or refreshed?
The details pertaining to the Myron J George, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-10-01.