Gordon John Retterath in Olympia - Clinical
Gordon John Retterath - NPI 1790871572
Gordon John Retterath is a Clinical in Olympia, Washington. Gordon John Retterath practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gordon John Retterath is 1790871572. The last update date is 2019-02-21.
Gordon John Retterath's current location address is 7719 Rainier Rd Se, Olympia, Washington. You can contact this provider via phone number 3609231787. The mailing address for Gordon John Retterath is 7719 Rainier Rd Se, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon John Retterath |
|---|---|
| Address | 7719 Rainier Rd Se, Olympia, Washington |
| Phone Number | 3609231787 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1790871572 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2019-02-21 |
Provider Mailing Address Detail
| Address | 7719 Rainier Rd Se |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985135419 |
| Phone Number | 3609231787 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LW00007863 |
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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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What is the unique 10-digit identifier code assigned to Gordon John Retterath by the Centers for Medicare & Medicaid Services?
The Gordon John Retterath has been issued the NPI (National Provider Identifier) 1790871572 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Gordon John Retterath is physically located?
The Gordon John Retterath is situated at the following address: 7719 Rainier Rd Se, Olympia, WA 985135419.
What is Gordon John Retterath's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gordon John Retterath is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When did the Gordon John Retterath receive its 1790871572?
The Gordon John Retterath was issued its 1790871572 on 2006-10-05, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Gordon John Retterath, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gordon John Retterath, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-02-21.
NPI Number: 1215930425
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