Laura Gaudette, | |
627 Ne Evans St, Mcminnville, OR 97128-3923 | |
(503) 434-7523 | |
Not Available |
Full Name | Laura Gaudette |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 627 Ne Evans St, Mcminnville, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588291231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L11290 (Oregon) | Primary |
Entity Name | Salem Psychiatric Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619061314 PECOS PAC ID: 6002702420 Enrollment ID: O20040430000049 |
Mailing Address | Practice Location Address |
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Laura Gaudette, 627 Ne Evans St, Mcminnville, OR 97128-3923 Ph: () - | Laura Gaudette, 627 Ne Evans St, Mcminnville, OR 97128-3923 Ph: (503) 434-7523 |
Lee J Monahan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523 | |
Brett C Moler, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523 Fax: 503-474-4907 | |
Caitlin Briana Schrage, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 625 Ne Galloway St, Mcminnville, OR 97128 Phone: 503-434-7523 | |
Emily Broom, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 435 Ne Evans St Ste A, Mcminnville, OR 97128 Phone: 503-472-4020 Fax: 503-472-8630 | |
Kevin Brooks, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523 | |
Julie C. Siepmann, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1075 Se Cedarwood Ave, Mcminnville, OR 97128 Phone: 503-435-1550 | |
Kaitlyn Broock Brewer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Ne May Ln, Mcminnville, OR 97128 Phone: 503-472-1338 |