Emily Marie Ketola, LCSW | |
9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | |
(503) 794-3830 | |
(503) 794-3850 |
Full Name | Emily Marie Ketola |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 9775 Se Sunnyside Rd Ste 200, Clackamas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003141672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | L5681 (Oregon) | Primary |
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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Emily Marie Ketola, LCSW 2051 Kaen Rd, Suite 367, Oregon City, OR 97045-4035 Ph: (503) 742-5300 | Emily Marie Ketola, LCSW 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 Ph: (503) 794-3830 |
Mrs. Rachel Lela Cochenour, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-4122 | |
Roxanne Marie Jackson, MSW, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10151 Se Sunnyside Rd Ste 480, Clackamas, OR 97015 Phone: 503-739-8321 | |
Ms. Shirley Nord, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-4757 Fax: 503-571-8342 | |
Mrs. Riley Anne Carroll, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Ms. Starla Sue Mccullar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Social Work, Clackamas, OR 97015 Phone: 503-571-4750 | |
Sylvia Sanaia Sparrow, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9775 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-655-8471 |