Andrea L Gore, CDP | |
998 Library Ct, Oregon City, OR 97045-4041 | |
(503) 655-8401 | |
(503) 655-8429 |
Full Name | Andrea L Gore |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 998 Library Ct, Oregon City, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174687537 | NPI | - | NPPES |
164936 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L5977 (Oregon) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 08-R-14 (Oregon) | Secondary |
Entity Name | Clackamas County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841443587 PECOS PAC ID: 9537065560 Enrollment ID: O20031210000827 |
Mailing Address | Practice Location Address |
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Andrea L Gore, CDP 2051 Kaen Rd, Oregon City, OR 97045-4035 Ph: (503) 742-5300 | Andrea L Gore, CDP 998 Library Ct, Oregon City, OR 97045-4041 Ph: (503) 655-8401 |
Greg Newman, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Molalla Ave, Suite 229, Oregon City, OR 97045 Phone: 503-722-4110 | |
Jean M Wilson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 998 Library Ct, Oregon City, OR 97045 Phone: 503-655-8401 Fax: 503-655-8429 | |
Matthew P Azar, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 524 Main St, Oregon City, OR 97045 Phone: 503-655-8558 Fax: 503-655-8197 | |
Mrs. Emily L Crowell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 619 Madison St Ste 102, Oregon City, OR 97045 Phone: 971-256-8435 Fax: 971-925-4870 | |
Emily Greso, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 714 Main St Ste B, Oregon City, OR 97045 Phone: 971-806-0221 | |
Richard Bugey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 728 Molalla Ave, Oregon City, OR 97045 Phone: 503-656-9030 Fax: 503-656-9026 | |
Margaret Moore, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1002 Library Ct, Oregon City, OR 97045 Phone: 503-655-8264 Fax: 503-655-8428 |