| Elena D Shore, LCSW | |
|
285 E Oregon Ave, Creswell, OR 97426-9160 | |
| (541) 870-1122 | |
| Not Available |
| Full Name | Elena D Shore |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 285 E Oregon Ave, Creswell, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679876163 | NPI | - | NPPES |
| 019047 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | L5772 (Oregon) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Elena D Shore, LCSW Po Box 732, Creswell, OR 97426-0732 Ph: (541) 870-1122 | Elena D Shore, LCSW 285 E Oregon Ave, Creswell, OR 97426-9160 Ph: (541) 870-1122 |
Ms. Susan Lyn Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 83034 Scott Ln, Creswell, OR 97426 Phone: 541-895-4421 | |
Megan Leatherman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30420 Camas Swale Rd, Creswell, OR 97426 Phone: 541-895-4892 | |
Brian Cantoran, Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 Meadow Ln, Creswell, OR 97426 Phone: 541-954-7406 | |
Karrie Lowry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 33405 East Tate Rd, Creswell, OR 97426 Phone: 541-895-5418 |