Bradley Houck, MSW, LCSW | |
161 High St Se Ste 254, Salem, OR 97301-3610 | |
(503) 400-6364 | |
Not Available |
Full Name | Bradley Houck |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 161 High St Se Ste 254, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033205752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L4222 (Oregon) | Primary |
Entity Name | Houck, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437642253 PECOS PAC ID: 3678815917 Enrollment ID: O20190507000751 |
Mailing Address | Practice Location Address |
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Bradley Houck, MSW, LCSW 161 High St Se Ste 254, Salem, OR 97301-3610 Ph: (503) 400-6364 | Bradley Houck, MSW, LCSW 161 High St Se Ste 254, Salem, OR 97301-3610 Ph: (503) 400-6364 |
Mr. Jes Dimas, LCSW, LICSW, LSSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 494 State St Ste 270, Salem, OR 97301 Phone: 503-583-2121 Fax: 855-855-4872 | |
John B Milnes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1645 Liberty St Se, Salem, OR 97302 Phone: 503-585-5328 Fax: 503-588-5327 | |
Mr. Mark Alan Mckinney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1698 Liberty St Se, Salem, OR 97302 Phone: 503-363-5435 | |
Rachel Seibert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Northwest Registered Agent Llc #513290-93, 2355 State St, Ste 101, Salem, OR 97301 Phone: 503-388-4196 | |
Keith Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Kingwood Ave Nw, Salem, OR 97304 Phone: 503-588-5816 Fax: 503-588-5803 | |
Kathie L Yelliott, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5125 Skyline Rd S, Salem, OR 97306 Phone: 503-588-5955 | |
Ms. Kathleen Marie Baptiste-mckinney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1698 Liberty St Se, Salem, OR 97302 Phone: 503-363-5435 Fax: 503-364-7272 |