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Alyssa J Distor

Social Worker

2020 Se Powell Blvd
Portland , Oregon 97202-2345

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Image

Alyssa J Distor

Social Worker

2020 Se Powell Blvd
Portland , Oregon 97202-2345

Write a Review Save Call

Alyssa J Distor

Social Worker

2020 Se Powell Blvd
Portland , Oregon 97202-2345

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Social Worker

Languages spoken

  • English

Location

2020 Se Powell Blvd Portland , Oregon 97202-2345

First Address

  • Alyssa J Distor
  • 2020 Se Powell Blvd
  • Portland, OR
  • Zip : 97202-2345
  • Phone :

Second Address

  • Alyssa J Distor
  • 2020 Se Powell Blvd
  • Portland, OR
  • Zip : 97202-2345
  • Phone : (310) 259-9136

Reviews

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FAQs


Where did Alyssa J Distor attend graduate school?

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Where did Alyssa J Distor do her residency?

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Where did Alyssa J Distor do her fellowship?

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Is Alyssa J Distor board certified?

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What type of doctor is Alyssa J Distor

Social Worker

In what state does Alyssa J Distor practice in?

Oregon

Where is Alyssa J Distor ’s practice located?

2020 Se Powell Blvd , Portland, Oregon, 97202-2345

What is Alyssa J Distor ’s gender?

Female

Is Alyssa J Distor a sole practitioner?

No

Is Alyssa J Distor accepting new patients?

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What languages does Alyssa J Distor speak?

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Does Alyssa J Distor accept insurance?

Yes, Alyssa J Distor accepts insurance

Does Alyssa J Distor offers telemedicine?

Alyssa J Distor has not indicated if she offers telemedicine

What is Alyssa J Distor ’s professional license number?

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What is Alyssa J Distor ’s NPI number?

1003479296

Does Alyssa J Distor have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 104100000X Social Worker

National Provider Identifier

NPI 1003479296
Provider Name Alyssa J Distor
First Address Portland, OR 97202-2345
Second Address Portland, OR 97202-2345
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 15/04/2019
Last Update Date 15/04/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
54023227 KAISER PERMANENTE (01) OR

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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