Tim Charles Foulke in Portland - Psychiatric/mental Health
Tim Charles Foulke - NPI 1265572937
Tim Charles Foulke is a Psychiatric/mental Health in Portland, Oregon. Tim Charles Foulke practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Tim Charles Foulke is 1265572937. The last update date is 2007-07-08.
Tim Charles Foulke's current location address is 2015 Ne 39th Ave, Portland, Oregon. You can contact this provider via phone number 5034223253 and fax number 5032810052. The mailing address for Tim Charles Foulke is 2015 Ne 39th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tim Charles Foulke |
|---|---|
| Address | 2015 Ne 39th Ave, Portland, Oregon |
| Phone Number | 5034223253 |
| Fax Number | 5032810052 |
| Sole Proprietor | Y |
| Credentials | PMHNP |
NPI Number Detail
| NPI Number | 1265572937 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2015 Ne 39th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972125305 |
| Phone Number | 5034223253 |
| Fax Number | 5032810052 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | 080045508N6 |
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Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
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What is the unique 10-digit identifier code issued to Tim Charles Foulke by the Centers for Medicare & Medicaid Services?
The Tim Charles Foulke has been assigned the NPI (National Provider Identifier) 1265572937 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Tim Charles Foulke is physically located?
The Tim Charles Foulke is physically situated at the following address: 2015 Ne 39Th Ave, Portland, OR, 972125305.
What is the Tim Charles Foulke's specialty and taxonomy code?
The Tim Charles Foulke's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 363Lp0808X.
When did the Tim Charles Foulke receive its 1265572937?
The Tim Charles Foulke was issued its 1265572937 on 2007-02-08, which is the date when the organization was assigned this unique identifier.
As of what date were the Tim Charles Foulke's details last updated?
The information pertaining to the Tim Charles Foulke, including its address, specialty, and other details, was most recently updated on 2007-07-08.