Christopher Broadbent, LPC | |
4455 Ne Highway 20, Corvallis, OR 97330-9695 | |
(541) 757-1852 | |
Not Available |
Full Name | Christopher Broadbent |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 4455 Ne Highway 20, Corvallis, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265831465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C4198 (Oregon) | Primary |
Entity Name | Valley Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457842833 PECOS PAC ID: 4981943776 Enrollment ID: O20190221001573 |
Mailing Address | Practice Location Address |
---|---|
Christopher Broadbent, LPC 2730 Pacific Blvd Se, Albany, OR 97321-5075 Ph: (541) 967-3866 | Christopher Broadbent, LPC 4455 Ne Highway 20, Corvallis, OR 97330-9695 Ph: (541) 757-1852 |
Ms. Hannelore Na Ondrusek, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 744 Nw 4th St, Corvallis, OR 97330 Phone: 541-929-9219 Fax: 541-929-9219 | |
Kiri N. Horsey, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-758-5946 Fax: 541-750-1120 | |
Ms. Casey Joanna Roach, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-758-5900 | |
Suzanne Merritt Bilderback, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 503-234-9591 | |
Patrick Owen Mcguffin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-758-5900 | |
Laura Capehart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-758-5900 | |
Taylor Reynolds, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-757-1852 |