Ms Felicia Ann Medlock, | |
1175 Mount Hood Ave, Woodburn, OR 97071-9060 | |
(503) 982-2000 | |
Not Available |
Full Name | Ms Felicia Ann Medlock |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1175 Mount Hood Ave, Woodburn, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720669872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L10857 (Oregon) | Primary |
Entity Name | Yakima Valley Farm Workers Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427001940 PECOS PAC ID: 4385541986 Enrollment ID: O20040116001020 |
Mailing Address | Practice Location Address |
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Ms Felicia Ann Medlock, 1175 Mount Hood Ave, Woodburn, OR 97071-9060 Ph: (503) 982-2000 | Ms Felicia Ann Medlock, 1175 Mount Hood Ave, Woodburn, OR 97071-9060 Ph: (503) 982-2000 |
Omar G Ruiz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 N Arney Rd Ste 220, Woodburn, OR 97071 Phone: 503-395-4224 | |
Melinda Avila, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 N Arney Rd Ste 220, Woodburn, OR 97071 Phone: 503-395-4224 | |
Candas Gill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1840 Newberg Hwy # 140, Woodburn, OR 97071 Phone: 503-982-2005 | |
Ms. Amanda Genus, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1320 Meridian Dr, Woodburn, OR 97071 Phone: 503-680-4013 | |
Ricardo Sanchez, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1002 N Boones Ferry Rd, Woodburn, OR 97071 Phone: 503-981-9526 | |
Selia Marisa Veliz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 N Arney Rd Ste 220, Woodburn, OR 97071 Phone: 503-395-4224 |