Clotilde Amelia Johnson-Beale in Vancouver - Adolescent Medicine
Clotilde Amelia Johnson-Beale - NPI 1760655575
Clotilde Amelia Johnson-Beale is a Adolescent Medicine in Vancouver, Washington. Clotilde Amelia Johnson-Beale practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Clotilde Amelia Johnson-Beale is 1760655575. The last update date is 2013-02-26.
Clotilde Amelia Johnson-Beale's current location address is 505 Ne 87th Ave, Vancouver, Washington. You can contact this provider via phone number 3608921635 and fax number 3608923146. The mailing address for Clotilde Amelia Johnson-Beale is 505 Ne 87th Ave, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clotilde Amelia Johnson-Beale |
|---|---|
| Address | 505 Ne 87th Ave, Vancouver, Washington |
| Phone Number | 3608921635 |
| Fax Number | 3608923146 |
| Sole Proprietor | N |
| Credentials | M.D., M.P. |
NPI Number Detail
| NPI Number | 1760655575 |
|---|---|
| Provider Enumeration Date | 2008-04-12 |
| Last Updated Date | 2013-02-26 |
Provider Mailing Address Detail
| Address | 505 Ne 87th Ave |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986641989 |
| Phone Number | 3608921635 |
| Fax Number | 3608923146 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | MD60273531 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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What is the unique 10-digit identification code issued to Clotilde Amelia Johnson-Beale by the Centers for Medicare & Medicaid Services?
The Clotilde Amelia Johnson-Beale has been assigned the NPI (National Provider Identifier) 1760655575 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Clotilde Amelia Johnson-Beale located?
The Clotilde Amelia Johnson-Beale is located at 505 Ne 87Th Ave, Vancouver, WA 986641989.
What is the Clotilde Amelia Johnson-Beale's specialty and taxonomy code?
The Clotilde Amelia Johnson-Beale's specialty is Adolescent Medicine, and the corresponding taxonomy code is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1760655575 to Clotilde Amelia Johnson-Beale?
The Centers for Medicare & Medicaid Services assigned the 1760655575 to Clotilde Amelia Johnson-Beale on 2008-04-12.
As of what date were the Clotilde Amelia Johnson-Beale's details last updated?
The information pertaining to the Clotilde Amelia Johnson-Beale, including its address, specialty, and other details, was most recently updated on 2013-02-26.
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