Mr Richard John Friday, LCSW | |
1620 E 12th St, The Dalles, OR 97058-3213 | |
(541) 296-9151 | |
(541) 296-9156 |
Full Name | Mr Richard John Friday |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1620 E 12th St, The Dalles, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093215287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L7482 (Oregon) | Primary |
Entity Name | Deschutes County Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235172180 PECOS PAC ID: 9638083371 Enrollment ID: O20031117000568 |
Entity Name | Columbia Gorge Medical Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558346064 PECOS PAC ID: 8628066115 Enrollment ID: O20040504000398 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard John Friday, LCSW 1620 E 12th St, The Dalles, OR 97058-3213 Ph: (541) 296-9151 | Mr Richard John Friday, LCSW 1620 E 12th St, The Dalles, OR 97058-3213 Ph: (541) 296-9151 |
Ms. Avie Rice Stacy, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1514 E 14th St, The Dalles, OR 97058 Phone: 541-965-1875 | |
Ronald W Wing, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 419 E 7th St Ste 207, The Dalles, OR 97058 Phone: 541-296-5452 Fax: 541-296-4792 | |
Mrs. Lacey A Nichols, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1210 Dry Hollow Rd Ste 4 1/2, The Dalles, OR 97058 Phone: 541-240-8938 | |
Tiffany Kenslow, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Washington St, The Dalles, OR 97058 Phone: 541-386-2337 | |
Colin S Wood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 419 E 7th St Ste 207, The Dalles, OR 97058 Phone: 541-296-5452 Fax: 541-296-4792 | |
Frederick Williams, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 419 E 7th St Ste 207, The Dalles, OR 97058 Phone: 541-296-5452 Fax: 541-296-9418 |