Susan E. Balloun is a Clinical in Portland, Oregon. Susan E. Balloun practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan E. Balloun is 1649335936. The last update date is 2007-07-08.
Susan E. Balloun's current location address is 3310 Se Division St, Portland, Oregon. You can contact this provider via phone number 5932263212 and fax number 5032264336. The mailing address for Susan E. Balloun is 3310 Se Division St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan E. Balloun |
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Address | 3310 Se Division St, Portland, Oregon |
Phone Number | 5932263212 |
Fax Number | 5032264336 |
Sole Proprietor | Y |
Credentials | MSW |
NPI Number Detail
NPI Number | 1649335936 |
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Provider Enumeration Date | 2006-12-27 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3310 Se Division St |
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City | Portland |
State | Oregon (OR) |
Post Code | 972021457 |
Phone Number | 5932263212 |
Fax Number | 5032264336 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 2246 |
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 Susan E. Balloun's unique identification number?
The Susan E. Balloun has been assigned the NPI (National Provider Identifier) Number 1649335936 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Susan E. Balloun?
The Susan E. Balloun is physically situated at 3310 Se Division St, in the city of Portland, state of OR, with the postal code 972021457.
What is Susan E. Balloun's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan E. Balloun is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649335936 to Susan E. Balloun?
The Susan E. Balloun received its 1649335936 assignment from the Centers for Medicare & Medicaid Services on 2006-12-27.
As of what date was the information regarding Susan E. Balloun, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan E. Balloun, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.