Colleen M Mcdonald, | |
3950 17th St, Baker City, OR 97814-1300 | |
(541) 523-1001 | |
Not Available |
Full Name | Colleen M Mcdonald |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 24 Years |
Location | 3950 17th St, Baker City, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487046785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L3487 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic-treasure Valley Llc | 4981878402 | 991 |
Entity Name | St Lukes Clinic-treasure Valley Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20120420000013 |
Mailing Address | Practice Location Address |
---|---|
Colleen M Mcdonald, 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Colleen M Mcdonald, 3950 17th St, Baker City, OR 97814-1300 Ph: (541) 523-1001 |
Ms. Heather Kissane Wood, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1948 Valley Ave, Baker City, OR 97814 Phone: 541-523-9539 Fax: 541-523-9539 | |
Lisa Raffety, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2100 Main St, Baker City, OR 97814 Phone: 541-523-7400 | |
Mr. John T Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1201 Main Street, Ste 210, Baker City, OR 97814 Phone: 541-403-1251 Fax: 541-523-5288 | |
Jordyn Marie Aydelotte, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3425 13th St, Baker City, OR 97814 Phone: 542-523-7400 Fax: 541-523-4927 | |
Erin Danielle Richard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 4th St, Baker City, OR 97814 Phone: 541-523-3646 | |
Aaron Anderson Grigg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3425 13th St, Baker City, OR 97814 Phone: 541-523-7400 Fax: 541-523-4927 |