| Ms Bethany Wallace, LCSW | |
|
4455 Ne Highway 20, Corvallis, OR 97330 | |
| (541) 758-5900 | |
| (541) 752-9270 |
| Full Name | Ms Bethany Wallace |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4455 Ne Highway 20, Corvallis, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992987754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L5807 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Bethany Wallace, LCSW 3415 Se Powell Boulevard, Portland, OR 97202 Ph: (503) 234-9591 | Ms Bethany Wallace, LCSW 4455 Ne Highway 20, Corvallis, OR 97330 Ph: (541) 758-5900 |
Fahlene Lockwood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2075 Nw Grant Ave, Corvallis, OR 97330 Phone: 541-368-3152 Fax: 855-279-0612 | |
Alison Roffman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3512 Se Bayou Pl, Corvallis, OR 97333 Phone: 541-908-1320 | |
Patty J Koker, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 530 Nw 27th St, Corvallis, OR 97330 Phone: 541-766-6835 | |
Laila Josephine Ayyoub, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3085 Nw Deer Run St, Corvallis, OR 97330 Phone: 541-760-0777 | |
Tanya Lee Katz, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4185 Sw Research Way Ste 110, Corvallis, OR 97333 Phone: 541-257-5500 | |
Mr. Alan Andrew Schrader, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-766-2195 | |
Nicole Applebaum, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Sw 8th St, Corvallis, OR 97333 Phone: 541-974-8873 |