Susan Jean Blacker in Portland - Case Manager/care Coordinator

Susan Jean Blacker - NPI 1629100797

Susan Jean Blacker is a Case Manager/care Coordinator in Portland, Oregon. Susan Jean Blacker practices all healthcare services and medical treatments related to Case Manager/care Coordinator. The NPI Number for Susan Jean Blacker is 1629100797. The last update date is 2007-07-08.

Susan Jean Blacker's current location address is 2523 N Watts St, Portland, Oregon. You can contact this provider via phone number 5032864210. The mailing address for Susan Jean Blacker is 2523 N Watts St, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Jean Blacker
Address 2523 N Watts St, Portland, Oregon
Phone Number 5032864210
Fax Number
Sole Proprietor N
Credentials QMHA

NPI Number Detail

NPI Number 1629100797
Provider Enumeration Date 2007-03-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2523 N Watts St
City Portland
State Oregon (OR)
Post Code 972176367
Phone Number 5032864210
Fax Number

Provider's Primary Taxonomy Detail

Speciality Case Manager/care Coordinator
Taxonomy 171M00000X
Definition:
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a pe

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FAQs about Susan Jean Blacker

What is the unique 10-digit identification code assigned to Susan Jean Blacker by the Centers for Medicare & Medicaid Services?

The Susan Jean Blacker has been issued the NPI (National Provider Identifier) 1629100797, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Susan Jean Blacker's facilities are geographically located?

The facilities of Susan Jean Blacker are physically situated at the following location: 2523 N Watts St, Portland, OR, 972176367.

What is the Susan Jean Blacker's area of specialization and corresponding taxonomy classification?

The Susan Jean Blacker's specialty field is Case Manager/care Coordinator, and it falls under the taxonomy code 171M00000X, which categorizes healthcare providers based on their specialties.

On what date did the Susan Jean Blacker receive the assignment of its 1629100797 from the Centers for Medicare & Medicaid Services?

The Susan Jean Blacker was issued its 1629100797 by the Centers for Medicare & Medicaid Services on 2007-03-12.

As of what date were the details related to Susan Jean Blacker most recently updated or revised?

The information pertaining to Susan Jean Blacker, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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