Mark Eugene Barnstable in Roseburg - Clinical
Mark Eugene Barnstable - NPI 1639369028
Mark Eugene Barnstable is a Clinical in Roseburg, Oregon. Mark Eugene Barnstable practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Eugene Barnstable is 1639369028. The last update date is 2013-12-27.
Mark Eugene Barnstable's current location address is 2371 Ne Stephens St, Roseburg, Oregon. You can contact this provider via phone number 5416728533 and fax number 5416724993. The mailing address for Mark Eugene Barnstable is 2371 Ne Stephens St, Roseburg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Eugene Barnstable |
|---|---|
| Address | 2371 Ne Stephens St, Roseburg, Oregon |
| Phone Number | 5416728533 |
| Fax Number | 5416724993 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1639369028 |
|---|---|
| Provider Enumeration Date | 2007-07-31 |
| Last Updated Date | 2013-12-27 |
Provider Mailing Address Detail
| Address | 2371 Ne Stephens St |
|---|---|
| City | Roseburg |
| State | Oregon (OR) |
| Post Code | 974701372 |
| Phone Number | 5416728533 |
| Fax Number | 5416724993 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L5538 |
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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 |
|---|---|---|---|
| 165772 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Eugene Barnstable by the Centers for Medicare & Medicaid Services?
The Mark Eugene Barnstable has been issued the NPI (National Provider Identifier) 1639369028, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark Eugene Barnstable?
The Mark Eugene Barnstable is physically situated at 2371 Ne Stephens St, in the city of Roseburg, state of OR, with the postal code 974701372.
What is the Mark Eugene Barnstable's area of specialization and corresponding taxonomy classification?
The Mark Eugene Barnstable's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1639369028 to Mark Eugene Barnstable?
The Mark Eugene Barnstable received its 1639369028 assignment from the Centers for Medicare & Medicaid Services on 2007-07-31.
As of what date were the details related to Mark Eugene Barnstable most recently updated or revised?
The information pertaining to Mark Eugene Barnstable, including its address, specialty, and other relevant details, was last updated or revised on 2013-12-27.