| Christian Davis Logerstedt, LCSW | |
|
10330 Se 32nd Ave Ste 110, Milwaukie, OR 97222-6596 | |
| (503) 513-1300 | |
| Not Available |
| Full Name | Christian Davis Logerstedt |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 10330 Se 32nd Ave Ste 110, Milwaukie, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356917249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10512 (Oregon) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Davis Logerstedt, LCSW 4400 Ne Halsey St Bldg 1, Portland, OR 97213-1545 Ph: (503) 215-6556 | Christian Davis Logerstedt, LCSW 10330 Se 32nd Ave Ste 110, Milwaukie, OR 97222-6596 Ph: (503) 513-1300 |
Suzanne Lapidus, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6605 Se Lake Rd, Milwaukie, OR 97222 Phone: 503-655-8401 Fax: 503-655-8429 | |
Peter Shapoval, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4545 Se Ina Ave Apt 9, Milwaukie, OR 97267 Phone: 503-654-5678 Fax: 503-654-1236 | |
Rachel Diane Keast, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2403 Se Monroe St Ste A, Milwaukie, OR 97222 Phone: 515-209-9386 | |
Yvonne Marie Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12530 Se Shell Ln, Milwaukie, OR 97222 Phone: 503-957-4249 | |
Mr. Justin David Galasso, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10202 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-496-1190 | |
Mr. Craig Andrew Nielsen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267 Phone: 503-303-4000 | |
Mary Cosentino-cathey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11376 Se Linwood Ave, Milwaukie, OR 97222 Phone: 971-533-0497 |