Providence Health & Services - Oregon in Sherwood - Child & Adolescent Psychiatry
Providence Health & Services - Oregon - NPI 1184729329
Providence Health & Services - Oregon is a Child & Adolescent Psychiatry in Sherwood, Oregon. Providence Health & Services - Oregon practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Providence Health & Services - Oregon is 1184729329. The last update date is 2021-04-16.
Providence Health & Services - Oregon's current location address is 16770 Sw Edy Rd, Sherwood, Oregon. You can contact this provider via phone number 5032169600 and fax number 5032169650. The mailing address for Providence Health & Services - Oregon is 16770 Sw Edy Rd, Sherwood, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health & Services - Oregon |
|---|---|
| Address | 16770 Sw Edy Rd, Sherwood, Oregon |
| Phone Number | 5032169600 |
| Fax Number | 5032169650 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASST SEC F |
|---|---|
| Authorized Official Name | Anderson Wayne Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1184729329 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2021-04-16 |
Provider Mailing Address Detail
| Address | 16770 Sw Edy Rd |
|---|---|
| City | Sherwood |
| State | Oregon (OR) |
| Post Code | 971409679 |
| Phone Number | 5032169600 |
| Fax Number | 5032169650 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500400324 | OR | -- | |
| 22851 | OR | -- |
Post Comment/ Review Below
What is the Providence Health & Services - Oregon's 1184729329?
The Providence Health & Services - Oregon's NPI (National Provider Identifier) Number is 1184729329. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Providence Health & Services - Oregon is geographically located?
The Providence Health & Services - Oregon is physically situated at the following location: 16770 Sw Edy Rd, Sherwood, OR, 971409679.
What is Providence Health & Services - Oregon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Providence Health & Services - Oregon's area of specialization is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0804X.
On what date did Providence Health & Services - Oregon receive its 1184729329 assignment from the Centers for Medicare & Medicaid Services?
The Providence Health & Services - Oregon was assigned its 1184729329 on 2006-09-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Providence Health & Services - Oregon most recently updated or revised?
The details related to Providence Health & Services - Oregon, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-16.