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NPI Code Detail

MEDICARE: CAROL SWOPE

MEDICARE: CAROL SWOPE
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
1103K00000XBehavior Analyst10175644OR

General Provider Information

NPI Number : 1710349535
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL SWOPE
Provider Business Mailing Address
First Line : 21600 OXNARD ST
Second Line : SUITE 1800
City : WOODLAND HILLS
State : CA
Zip : 91367-4976
Country : US
Telephone Number : 818-345-2345
Fax Number : 818-449-0994
Provider Business Practice Location Address
First Line : 6200 SW ARCTIC DR
Second Line :
City : BEAVERTON
State : OR
Zip : 97005-9447
Country : US
Telephone Number : 503-224-2184
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 03/22/2016

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Directions to “ CAROL SWOPE ” Practice Location

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