Jackie Siegel Trussell in Portland - Clinical
Jackie Siegel Trussell - NPI 1497893739
Jackie Siegel Trussell is a Clinical in Portland, Oregon. Jackie Siegel Trussell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jackie Siegel Trussell is 1497893739. The last update date is 2007-07-08.
Jackie Siegel Trussell's current location address is 14815 Se Division St, Portland, Oregon. You can contact this provider via phone number 5037617139 and fax number 5037617917. The mailing address for Jackie Siegel Trussell is 14815 Se Division St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie Siegel Trussell |
|---|---|
| Address | 14815 Se Division St, Portland, Oregon |
| Phone Number | 5037617139 |
| Fax Number | 5037617917 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1497893739 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14815 Se Division St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 9723623360 |
| Phone Number | 5037617139 |
| Fax Number | 5037617917 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L2749 |
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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 Jackie Siegel Trussell by the Centers for Medicare & Medicaid Services?
The Jackie Siegel Trussell has been issued the NPI (National Provider Identifier) 1497893739 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jackie Siegel Trussell's facilities are geographically located?
The facilities of Jackie Siegel Trussell are physically situated at the following location: 14815 Se Division St, Portland, OR, 9723623360.
What is Jackie Siegel Trussell's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jackie Siegel Trussell's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did Jackie Siegel Trussell receive its 1497893739 assignment from the Centers for Medicare & Medicaid Services?
The Jackie Siegel Trussell was assigned its 1497893739 on 2007-02-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jackie Siegel Trussell most recently updated or revised?
The information pertaining to Jackie Siegel Trussell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1932102142
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