Daniela Letz, PMHNP, LCSW | |
9205 Sw Barnes Rd, Portland, OR 97225 | |
(503) 327-1598 | |
Not Available |
Full Name | Daniela Letz |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 9205 Sw Barnes Rd, Portland, 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 |
---|---|---|---|
1184785727 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L3781 (Oregon) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 201150083NP (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Vincent Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Cascadia Health | 7618873761 | 46 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
Entity Name | Cascadia Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336196401 PECOS PAC ID: 7618873761 Enrollment ID: O20031209000991 |
Entity Name | Tms Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881139913 PECOS PAC ID: 2567720113 Enrollment ID: O20180103001359 |
Mailing Address | Practice Location Address |
---|---|
Daniela Letz, PMHNP, LCSW 1795 Nw 143rd Ave, Unit 3, Portland, OR 97229-4373 Ph: (503) 327-1598 | Daniela Letz, PMHNP, LCSW 9205 Sw Barnes Rd, Portland, OR 97225 Ph: (503) 327-1598 |