| Ms Gladys Shade, QMHP, LCSW | |
|
1890 Waite St, Suite 1, North Bend, OR 97459-1229 | |
| (541) 756-6232 | |
| (541) 756-6234 |
| Full Name | Ms Gladys Shade |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1890 Waite St, North Bend, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114137494 | NPI | - | NPPES |
| R142063 | Other | OR | MEDICARE PTAN |
| 1619915113 | Other | OR | GROUP NUMBER NPI |
| R120353 | Other | PTAN | |
| 213342 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3124 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Gladys Shade, QMHP, LCSW 1890 Waite St, Suite 1, North Bend, OR 97459-1229 Ph: (541) 756-6232 | Ms Gladys Shade, QMHP, LCSW 1890 Waite St, Suite 1, North Bend, OR 97459-1229 Ph: (541) 756-6232 |
Frank C Ford, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3803 Vista Court, North Bend, OR 97459 Phone: 541-756-7453 Fax: 541-808-0395 | |
Katherine W Parker, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1975 Mcpherson St, Suite 2, North Bend, OR 97459 Phone: 541-756-2020 Fax: 541-756-8982 | |
Mr. David Francis Bertapelle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1842 Union St, North Bend, OR 97459 Phone: 541-751-7905 Fax: 541-751-7905 | |
Ms. Nancy Lynn Strain, QMHP, LSCW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1975 Mcpherson St, Suite 2, North Bend, OR 97459 Phone: 541-756-2020 Fax: 541-756-8982 | |
Molly Schroeder, M.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2790 Broadway St, North Bend, OR 97459 Phone: 541-751-0871 | |
Jessie Kullberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1944 Sherman Ave Ste 201, North Bend, OR 97459 Phone: 541-260-6098 |