Cherylynn Andres Moser, LPC, LAT | |
9155 Sw Barnes Rd Ste 634, Portland, OR 97225-6632 | |
(503) 216-6662 | |
(503) 216-1101 |
Full Name | Cherylynn Andres Moser |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 9155 Sw Barnes Rd Ste 634, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205390739 | NPI | - | NPPES |
R5811 | Other | OR | PROFESSIONAL COUNSELING REGISTERED INTERN |
T-10217775 | Other | OR | LICENSED ART THERAPIST |
20-355 | Other | ART THERAPY CREDENTIALS BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C6535 (Oregon) | Primary |
101YM0800X | Counselor - Mental Health | C6535 (Oregon) | Secondary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Mailing Address | Practice Location Address |
---|---|
Cherylynn Andres Moser, LPC, LAT 9155 Sw Barnes Rd Ste 634, Portland, OR 97225-6632 Ph: (503) 216-6662 | Cherylynn Andres Moser, LPC, LAT 9155 Sw Barnes Rd Ste 634, Portland, OR 97225-6632 Ph: (503) 216-6662 |
Deanna Gold, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 Ne 19th Ave, Suite 100, Portland, OR 97232 Phone: 503-891-9937 | |
Loren Dale Horton, B.A, M.DIV. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Sw Washington St, Portland, OR 97205 Phone: 503-535-1150 | |
Michael Peter Kender, MA, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 9111 Ne Sunderland Ave, Portland, OR 97211 Phone: 503-280-6646 Fax: 503-280-6051 | |
Laura Ann Allen, MS, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Nw Davis St, Portland, OR 97209 Phone: 503-226-2203 Fax: 503-223-4231 | |
James Paul Bryant, LCSW, CADC 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-964-0000 | |
Michael Ann Benchoff, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Sw Oak Street, Suite 520, Portland, OR 97204 Phone: 503-988-4949 | |
Lynn A Fontana, L.M.F.T, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8035 Ne Prescott St, Portland, OR 97218 Phone: 503-223-7719 Fax: 503-255-4714 |