Jason M Head, is a
Peer Specialist based in West Linn, Oregon. Jason M Head is licensed to practice in Oregon (license number 17-CRM-032) and his current practice location is
2602 Arbor Dr, West Linn, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 387-3884.
NPI number for Jason M Head is 1619343027 and his current mailing address is 900 Main St Ste 200, Oregon City, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619343027.
Healthcare Provider's Profile
| Full Name | Jason M Head |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 2602 Arbor Dr, West Linn, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619343027
- Provider Enumeration Date: 08/19/2015
- Last Update Date: 12/05/2019
Medical Identifiers
Medical identifiers for Jason M Head such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619343027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15-5-14 (Oregon) | Secondary |
| 175T00000X | Peer Specialist | 17-CRM-032 (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. Jason M Head 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 |
|---|
Jason M Head,
900 Main St Ste 200,
Oregon City, OR 97045-1869
Ph: () - | Jason M Head,
2602 Arbor Dr,
West Linn, OR 97068-1104
Ph: (503) 387-3884 |
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