Laura Marie Wickline in Portland - Psychiatric/mental Health
Laura Marie Wickline - NPI 1205090586
Laura Marie Wickline is a Psychiatric/mental Health in Portland, Oregon. Laura Marie Wickline practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Laura Marie Wickline is 1205090586. The last update date is 2012-02-08.
Laura Marie Wickline's current location address is 1132 Sw 13th Ave, Portland, Oregon. You can contact this provider via phone number 5034843341. The mailing address for Laura Marie Wickline is 1132 Sw 13th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Marie Wickline |
|---|---|
| Address | 1132 Sw 13th Ave, Portland, Oregon |
| Phone Number | 5034843341 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PMHNP |
NPI Number Detail
| NPI Number | 1205090586 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2012-02-08 |
Provider Mailing Address Detail
| Address | 1132 Sw 13th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972051703 |
| Phone Number | 5034843341 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 163Wp0808X |
| Licence No | 200442418RN |
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Definition: A registered nurse who cares for patients with mental health disorders and conditions. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Laura Marie Wickline by the Centers for Medicare & Medicaid Services?
The Laura Marie Wickline has been assigned the NPI (National Provider Identifier) 1205090586 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Laura Marie Wickline is physically located?
The Laura Marie Wickline is situated at the following address: 1132 Sw 13Th Ave, Portland, OR 972051703.
What is Laura Marie Wickline's area of expertise and its corresponding taxonomy classification?
The Laura Marie Wickline's field of specialization is Psychiatric/mental Health, and it falls under the taxonomy code 163Wp0808X, which categorizes healthcare providers based on their areas of practice.
On what date did the Laura Marie Wickline receive its 1205090586 assignment from the Centers for Medicare & Medicaid Services?
The Laura Marie Wickline was assigned its 1205090586 by the Centers for Medicare & Medicaid Services on 2008-07-15.
When was the information pertaining to Laura Marie Wickline most recently updated or revised?
The details related to Laura Marie Wickline, including its address, specialty, and other relevant information, were last updated or revised on 2012-02-08.