Mrs Marlena Laura-joann Johnson, QMHP | |
444 Villa Rd, Newberg, OR 97132-1856 | |
(503) 431-0063 | |
(503) 554-1848 |
Full Name | Mrs Marlena Laura-joann Johnson |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 444 Villa Rd, Newberg, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437409414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 094265 (Oregon) | Primary |
Entity Name | Living Tree Wellness Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245966613 PECOS PAC ID: 7618346073 Enrollment ID: O20221207002415 |
Mailing Address | Practice Location Address |
---|---|
Mrs Marlena Laura-joann Johnson, QMHP 901 Brutscher St Ste D Pmb 150, Newberg, OR 97132-6096 Ph: (503) 431-0063 | Mrs Marlena Laura-joann Johnson, QMHP 444 Villa Rd, Newberg, OR 97132-1856 Ph: (503) 431-0063 |
Mrs. Mary Teresa Wikander, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 So Elliott Rd, Ste 200, Newberg, OR 97132 Phone: 503-539-2843 | |
Timothy Steven Irmen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 710 E Foothills Dr Ste 104c, Newberg, OR 97132 Phone: 503-930-2923 Fax: 503-523-2193 | |
Kate Erin Allen, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 215 N Meridian St Ste 201, Newberg, OR 97132 Phone: 503-208-6279 | |
Carley Gage Lindsay, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 S Elliott Rd, Ste 200, Newberg, OR 97132 Phone: 503-706-5197 | |
Christopher Mcmullan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3303 N Crater Ln, Newberg, OR 97132 Phone: 503-537-8244 | |
Deborah Ann Richardson, MSW CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2318 E Portland Rd, Newberg, OR 97132 Phone: 503-434-7523 |