Avery Grace, QMHP is a
Counselor - Mental Health based in Bend, Oregon. Avery Grace is licensed to practice in Oregon (license number 22-QMHP-R-1292) and her current practice location is
1058 Ne 12th St, Bend, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 678-5320.
NPI number for Avery Grace is 1194268623 and her current mailing address is 1058 Ne 12th St, Bend, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194268623.
Healthcare Provider's Profile
Full Name | Avery Grace |
---|
Gender | Female |
---|
Speciality | Counselor - Mental Health |
---|
Location | 1058 Ne 12th St, Bend, Oregon |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194268623
- Provider Enumeration Date: 12/01/2016
- Last Update Date: 06/28/2022
Medical Identifiers
Medical identifiers for Avery Grace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194268623 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 17331 (California) | Secondary |
101YM0800X | Counselor - Mental Health | 22-QMHP-R-1292 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Avery Grace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Avery Grace, QMHP 1058 Ne 12th St, Bend, OR 97701-4412 Ph: (541) 678-5320 | Avery Grace, QMHP 1058 Ne 12th St, Bend, OR 97701-4412 Ph: (541) 678-5320 |
Reviews and Comments