Judith R Dale in Gresham - Addiction (substance Use Disorder)
Judith R Dale - NPI 1083757082
Judith R Dale is a Addiction (substance Use Disorder) in Gresham, Oregon. Judith R Dale practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Judith R Dale is 1083757082. The last update date is 2007-07-08.
Judith R Dale's current location address is 2298 Se Darling Ave, Gresham, Oregon. You can contact this provider via phone number 5036611866. The mailing address for Judith R Dale is 2298 Se Darling Ave, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Judith R Dale |
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Address | 2298 Se Darling Ave, Gresham, Oregon |
Phone Number | 5036611866 |
Fax Number | |
Sole Proprietor | N |
Credentials | R.N., C |
NPI Number Detail
NPI Number | 1083757082 |
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Provider Enumeration Date | 2007-02-15 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2298 Se Darling Ave |
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City | Gresham |
State | Oregon (OR) |
Post Code | 970805387 |
Phone Number | 5036611866 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 163Wa0400X |
Definition: A registered nurse who cares for people with alcohol, drug, and other addictions. |
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What is the unique provider identifier assigned to Judith R Dale?
The Judith R Dale has been issued the NPI (National Provider Identifier) 1083757082 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Judith R Dale located?
The Judith R Dale is located at 2298 Se Darling Ave, Gresham, OR 970805387.
What is Judith R Dale's area of expertise and its corresponding taxonomy classification?
The Judith R Dale's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 163Wa0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Judith R Dale receive its 1083757082 assignment from the Centers for Medicare & Medicaid Services?
The Judith R Dale was assigned its 1083757082 by the Centers for Medicare & Medicaid Services on 2007-02-15.
As of what date was the information regarding Judith R Dale, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Judith R Dale, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.