Brenda Geoghegan, | |
1600 S Main St, Lebanon, OR 97355-3109 | |
(541) 967-3866 | |
Not Available |
Full Name | Brenda Geoghegan |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1600 S Main St, Lebanon, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578032991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | County Of Linn |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760575781 PECOS PAC ID: 7911984638 Enrollment ID: O20040701000264 |
Mailing Address | Practice Location Address |
---|---|
Brenda Geoghegan, Po Box 100, Albany, OR 97321-0031 Ph: (541) 967-3866 | Brenda Geoghegan, 1600 S Main St, Lebanon, OR 97355-3109 Ph: (541) 967-3866 |
Jessica Krieger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Mullins Dr Ste C2, Lebanon, OR 97355 Phone: 541-451-6388 | |
Wendy Hull, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 S Main St, Lebanon, OR 97355 Phone: 541-451-5932 | |
Mr. David R Bauer, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 S Main St, Lebanon, OR 97355 Phone: 541-451-5932 Fax: 541-258-5704 | |
James Page, CADC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Mullins Dr Ste C2, Lebanon, OR 97355 Phone: 541-451-6388 | |
Mrs. Abigail Susanne Demchak, Counselor Medicare: Medicare Enrolled Practice Location: 675 N 5th St Ste 200, Lebanon, OR 97355 Phone: 541-451-6282 | |
James Burr Sherwood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N Main St Ste B, Lebanon, OR 97355 Phone: 541-405-9145 | |
Jude Walsh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6960 |