| Ms Shannon Elaine Park, LCSW | |
|
145 S, Holly Street, Suite A, Medford, OR 97501-3101 | |
| (541) 773-5664 | |
| (541) 773-5667 |
| Full Name | Ms Shannon Elaine Park |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 145 S, Holly Street, Medford, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194851808 | NPI | - | NPPES |
| L3339 | Other | OR | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L3339 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shannon Elaine Park, LCSW 145 S, Holly Street, Suite A, Medford, OR 97501-3101 Ph: (541) 773-5664 | Ms Shannon Elaine Park, LCSW 145 S, Holly Street, Suite A, Medford, OR 97501-3101 Ph: (541) 773-5664 |
Beverly Kay Riley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1698 E Mcandrews Rd Ste 300, Medford, OR 97504 Phone: 541-732-7950 | |
Leslie Ramage, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 122 E Main St Ste 400-68, Medford, OR 97501 Phone: 503-551-7713 | |
Ms. Susan Ann Waterman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 E Main St, Suite 7, Medford, OR 97501 Phone: 541-772-2791 Fax: 541-772-2791 | |
Elise Travertini, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3617 S Pacific Hwy, Medford, OR 97501 Phone: 541-535-6239 Fax: 541-535-4377 | |
Mr. William M Camp, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 W Main St, Medford, OR 97501 Phone: 541-772-1777 Fax: 541-734-2410 | |
Ms. Mary Adrienne Fansler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1237 N Riverside Ave, Suite 229, Medford, OR 97501 Phone: 541-779-8850 Fax: 541-858-5441 | |
Mr. Seth Andrew Rodriguez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-789-7138 |