Ellen Bennington, QMHA is a
Case Manager/care Coordinator based in Portland, Oregon. Ellen Bennington is licensed to practice in Oregon (license number ) and her current practice location is
847 Ne 19th Ave Ste 100, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(032) 380-7695.
NPI number for Ellen Bennington is 1174079768 and her current mailing address is Po Box 8459, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174079768.
Healthcare Provider's Profile
| Full Name | Ellen Bennington |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
|---|
| Location | 847 Ne 19th Ave Ste 100, Portland, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174079768
- Provider Enumeration Date: 09/01/2016
- Last Update Date: 07/23/2019
Medical Identifiers
Medical identifiers for Ellen Bennington such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174079768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellen Bennington is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ellen Bennington, QMHA
Po Box 8459,
Portland, OR 97207-8459
Ph: (503) 234-9591 | Ellen Bennington, QMHA
847 Ne 19th Ave Ste 100,
Portland, OR 97232-2684
Ph: (032) 380-7695 |
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