Derek J Gale, LPC | |
1112 Nw Circle Blvd, Corvallis, OR 97330-1462 | |
(541) 768-1221 | |
Not Available |
Full Name | Derek J Gale |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1112 Nw Circle Blvd, 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 |
---|---|---|---|
1205957230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | C2673 (Oregon) | Primary |
Entity Name | Good Samaritan Hospital Corvallis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163 |
Mailing Address | Practice Location Address |
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Derek J Gale, LPC Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Derek J Gale, LPC 1112 Nw Circle Blvd, Corvallis, OR 97330-1462 Ph: (541) 768-1221 |
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 |