MEDICARE: DR. NAOMI STEINBERG PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	1013	OR

General Provider Information

NPI Number	:	1033161344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAOMI STEINBERG PH.D.

Provider Business Mailing Address
First Line	:	1308 NW 20TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97209-1607
Country	:	US
Telephone Number	:	503-459-2242
Fax Number	:

Provider Business Practice Location Address
First Line	:	1308 NW 20TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97209-1607
Country	:	US
Telephone Number	:	503-459-2242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	07/25/2008

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