| Jamie Rose Dickenson, LCSW | |
| 
					603 Medical Pkwy, Enterprise, OR 97828-5124  | |
| (208) 870-9489 | |
| Not Available | 
| Full Name | Jamie Rose Dickenson | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 603 Medical Pkwy, Enterprise, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1578322251 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L5083 (Oregon) | Primary | 
| Entity Name | Wallowa County Health Care District | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1447256250 PECOS PAC ID: 4183537566 Enrollment ID: O20031120000556  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jamie Rose Dickenson, LCSW 603 Medical Pkwy, Enterprise, OR 97828-5124 Ph: () -  | Jamie Rose Dickenson, LCSW 603 Medical Pkwy, Enterprise, OR 97828-5124 Ph: (208) 870-9489  | 
Judith A. Wandschneider, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 Sw 1st St, Enterprise, OR 97828 Phone: 541-426-4524 Fax: 541-426-3035  | |
Mckayla Forsberg,  Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 603 Medical Pkwy, Enterprise, OR 97828 Phone: 509-575-4084  | |
Ebony Leree Shorts, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 606 Medical Pkwy, Enterprise, OR 97828 Phone: 541-426-4524 Fax: 541-426-3035  |