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 |