Judy Perry Rose in Portland - Psychiatry

Judy Perry Rose - NPI 1275646135

Judy Perry Rose is a Psychiatry in Portland, Oregon. Judy Perry Rose practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Judy Perry Rose is 1275646135. The last update date is 2014-10-03.

Judy Perry Rose's current location address is 10123 Se Market St, Portland, Oregon. You can contact this provider via phone number 5032572500. The mailing address for Judy Perry Rose is 10123 Se Market St, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Judy Perry Rose
Address 10123 Se Market St, Portland, Oregon
Phone Number 5032572500
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1275646135
Provider Enumeration Date 2006-08-16
Last Updated Date 2014-10-03

Provider Mailing Address Detail

Address 10123 Se Market St
City Portland
State Oregon (OR)
Post Code 972162532
Phone Number 5032572500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No MD21213
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
151294 OR --

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FAQs about Judy Perry Rose

What is the unique provider identifier assigned to Judy Perry Rose?

The Judy Perry Rose has been issued the NPI (National Provider Identifier) 1275646135 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Judy Perry Rose's facilities are geographically located?

The facilities of Judy Perry Rose are physically situated at the following location: 10123 Se Market St, Portland, OR, 972162532.

What is Judy Perry Rose's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Judy Perry Rose's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1275646135 to Judy Perry Rose?

The Centers for Medicare & Medicaid Services originally issued the 1275646135 to Judy Perry Rose on 2006-08-16.

As of what date were the details pertaining to Judy Perry Rose last refreshed?

The information related to the Judy Perry Rose, including its address, specialty, and other relevant details, was last updated on 2014-10-03.

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