Collin Bryant Wright, CADC I | |
17473 Se Walta Vista Dr, Milwaukie, OR 97267-5542 | |
(503) 929-1838 | |
Not Available |
Full Name | Collin Bryant Wright |
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Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 17473 Se Walta Vista Dr, Milwaukie, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1235535097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YA0400X | Counselor - Addiction (substance Use Disorder) | (Oregon) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
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Collin Bryant Wright, CADC I 17473 Se Walta Vista Dr, Milwaukie, OR 97267-5542 Ph: (503) 929-1838 | Collin Bryant Wright, CADC I 17473 Se Walta Vista Dr, Milwaukie, OR 97267-5542 Ph: (503) 929-1838 |
Shannon Marie Beard, Counselor Medicare: Medicare Enrolled Practice Location: 13455 Se Oatfield Rd Apt 28, Milwaukie, OR 97222 Phone: 541-951-5297 | |
Ms. Lindsay Young, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267 Phone: 503-594-1772 Fax: 503-594-1773 | |
Erik Scholze, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11576 Se 27th Ave, Milwaukie, OR 97222 Phone: 503-305-6943 | |
Konde Salumu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11576 Se 27th Ave, Milwaukie, OR 97222 Phone: 503-305-6943 | |
Asa J Statler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13850 Se Autumn Ridge Ter, Milwaukie, OR 97267 Phone: 503-974-9250 Fax: 503-974-9586 | |
John Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267 Phone: 503-303-4000 | |
Tammy Talbert, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4105 Se International Way, Milwaukie, OR 97222 Phone: 503-740-8787 |