Mark Edward Holderbach in Beaverton - Clinical
Mark Edward Holderbach - NPI 1649397183
Mark Edward Holderbach is a Clinical in Beaverton, Oregon. Mark Edward Holderbach practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Edward Holderbach is 1649397183. The last update date is 2007-07-09.
Mark Edward Holderbach's current location address is 14978 Sw Emerald Ct, Beaverton, Oregon. You can contact this provider via phone number 5036666575 and fax number 5036664047. The mailing address for Mark Edward Holderbach is 14978 Sw Emerald Ct, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Edward Holderbach |
|---|---|
| Address | 14978 Sw Emerald Ct, Beaverton, Oregon |
| Phone Number | 5036666575 |
| Fax Number | 5036664047 |
| Sole Proprietor | N |
| Credentials | M.S.W., L. |
NPI Number Detail
| NPI Number | 1649397183 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 14978 Sw Emerald Ct |
|---|---|
| City | Beaverton |
| State | Oregon (OR) |
| Post Code | 970078560 |
| Phone Number | 5036666575 |
| Fax Number | 5036664047 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L3497 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1041C0700X CLIN | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Edward Holderbach by the Centers for Medicare & Medicaid Services?
The Mark Edward Holderbach has been issued the NPI (National Provider Identifier) 1649397183, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mark Edward Holderbach is physically located?
The Mark Edward Holderbach is physically situated at the following address: 14978 Sw Emerald Ct, Beaverton, OR, 970078560.
What is Mark Edward Holderbach's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Edward Holderbach is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649397183 to Mark Edward Holderbach?
The Centers for Medicare & Medicaid Services originally issued the 1649397183 to Mark Edward Holderbach on 2007-03-22.
As of what date were the Mark Edward Holderbach's details last updated?
The information pertaining to the Mark Edward Holderbach, including its address, specialty, and other details, was most recently updated on 2007-07-09.