Lara Sloan, | |
182 Sw Academy St, Dallas, OR 97338-1996 | |
(541) 967-3866 | |
Not Available |
Full Name | Lara Sloan |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 182 Sw Academy St, Dallas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760899850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | County Of Linn |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760575781 PECOS PAC ID: 7911984638 Enrollment ID: O20040701000264 |
Mailing Address | Practice Location Address |
---|---|
Lara Sloan, Po Box 100, Albany, OR 97321-0031 Ph: () - | Lara Sloan, 182 Sw Academy St, Dallas, OR 97338-1996 Ph: (541) 967-3866 |
Kimberly Dawn Howard, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726 | |
Jedonne Jorstad, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Ste 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-623-1874 | |
Zachary Beeler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 | |
Katrina Jeannine West, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 | |
Susan Marie Klein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite 304, Dallas, OR 97338 Phone: 503-623-9289 | |
Mrs. Margaret Ann Terry, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 | |
Tiffany Bouchard, MS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, County Of Polk, Suite 220, Dallas, OR 97338 Phone: 503-623-9317 |