Mary Edson Smith, LCSW | |
1700 Nw Civic Dr Ste 310, Gresham, OR 97030-3774 | |
(503) 666-8832 | |
Not Available |
Full Name | Mary Edson Smith |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1700 Nw Civic Dr Ste 310, Gresham, 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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1891301990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L10327 (Oregon) | Primary |
Entity Name | Western Psychological And Counseling Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912008178 PECOS PAC ID: 7719975085 Enrollment ID: O20040505000049 |
Mailing Address | Practice Location Address |
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Mary Edson Smith, LCSW 1224 Ne 53rd Ave, Portland, OR 97213-2858 Ph: (971) 716-4822 | Mary Edson Smith, LCSW 1700 Nw Civic Dr Ste 310, Gresham, OR 97030-3774 Ph: (503) 666-8832 |
Stephanie Kurzenhauser, MSW, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1201 Se 223rd Ave Ste 165, Gresham, OR 97030 Phone: 971-999-2693 | |
Matthew Joseph Bartolotti, LSCW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Ne 7th St, Gresham, OR 97030 Phone: 503-489-2236 | |
Ryely Wilpone, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St, Gresham, OR 97030 Phone: 503-988-5155 Fax: 503-988-5185 | |
Jamie Nash-sedda, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2970 Ne 7th St, Gresham, OR 97030 Phone: 509-863-4560 | |
James Macleod, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4101 Ne Division St, Gresham, OR 97030 Phone: 971-284-1963 | |
Alyssa Wirthlin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Ne 7th St, Gresham, OR 97030 Phone: 503-661-5455 | |
Christen Skolnick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24988 Se Stark St Ste 140, Mail Code: Cmng, Gresham, OR 97030 Phone: 971-262-9806 Fax: 971-262-9501 |