Kristopher M Mcgowan, CADC II, QMHA is a
Case Manager/care Coordinator based in Beaverton, Oregon. Kristopher M Mcgowan is licensed to practice in Oregon (license number 19-QMHA-I-00870) and his current practice location is
10700 Sw Beaverton Hillsdale Hwy Ste 11, Beaverton, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 641-1475.
NPI number for Kristopher M Mcgowan is 1609326214 and his current mailing address is 14600 Nw Cornell Rd, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609326214.
Healthcare Provider's Profile
| Full Name | Kristopher M Mcgowan |
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| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 10700 Sw Beaverton Hillsdale Hwy Ste 11, Beaverton, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609326214
- Provider Enumeration Date: 10/06/2016
- Last Update Date: 05/07/2020
Medical Identifiers
Medical identifiers for Kristopher M Mcgowan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609326214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18-01-36 (Oregon) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 19-QMHA-I-00870 (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. Kristopher M Mcgowan 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 |
|---|
Kristopher M Mcgowan, CADC II, QMHA
14600 Nw Cornell Rd,
Portland, OR 97229-5442
Ph: (503) 645-3581 | Kristopher M Mcgowan, CADC II, QMHA
10700 Sw Beaverton Hillsdale Hwy Ste 11,
Beaverton, OR 97005-3035
Ph: (503) 641-1475 |
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