| Eden Virgina Park, QMHA | |
|
29120 Sw San Remo Ct, Wilsonville, OR 97070-7373 | |
| (503) 682-1840 | |
| (503) 682-1873 |
| Full Name | Eden Virgina Park |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 29120 Sw San Remo Ct, Wilsonville, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316303357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Virgina Park, QMHA 3587 Heathrow Way, Medford, OR 97504-4004 Ph: (541) 858-8170 | Eden Virgina Park, QMHA 29120 Sw San Remo Ct, Wilsonville, OR 97070-7373 Ph: (503) 682-1840 |
Debra Agee, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 11520 Sw Zurich St, Wilsonville, OR 97070 Phone: 503-427-0182 Fax: 503-427-0228 | |
Brittany Mason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 29549 Sw Villebois Dr S, Wilsonville, OR 97070 Phone: 503-427-0172 Fax: 503-427-0798 | |
John Stanton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 29549 Sw Villebois Dr S, Wilsonville, OR 97070 Phone: 503-427-0172 Fax: 503-427-0798 | |
Bret Markus Olsen, CADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 9450 Sw Commerce Cir, Wilsonville, OR 97070 Phone: 503-682-7744 Fax: 503-682-3384 | |
Erika Kane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30150 Sw Parkway Ave Ste 400, Wilsonville, OR 97070 Phone: 971-338-9753 | |
Samuel Hadley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24499 Sw Grahams Ferry Rd, Wilsonville, OR 97070 Phone: 503-238-0769 | |
Chasee Lofft, Counselor Medicare: Not Enrolled in Medicare Practice Location: 29270 Sw Orleans Loop, Box 9, Wilsonville, OR 97070 Phone: 503-427-0182 |