Dr Marisol Elisa Beaulac, PSYD is a
Psychologist - Clinical based in Hillsboro, Oregon. Dr Marisol Elisa Beaulac is licensed to practice in Oregon (license number 3828) and her current practice location is
2920 Se Brookwood Ave Ste A, Hillsboro, Oregon. She can be reached at her office (for appointments etc.) via phone at
(971) 417-6054.
NPI number for Dr Marisol Elisa Beaulac is 1609431659 and her current mailing address is 2920 Se Brookwood Ave Ste A, Hillsboro, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609431659.
Healthcare Provider's Profile
| Full Name | Dr Marisol Elisa Beaulac |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 2920 Se Brookwood Ave Ste A, Hillsboro, 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: 1609431659
- Provider Enumeration Date: 05/06/2019
- Last Update Date: 10/01/2024
Medical Identifiers
Medical identifiers for Dr Marisol Elisa Beaulac such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609431659 | NPI | - | NPPES |
| 1700256989 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3828 (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. Dr Marisol Elisa Beaulac 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 |
|---|
Dr Marisol Elisa Beaulac, PSYD
2920 Se Brookwood Ave Ste A,
Hillsboro, OR 97123-8553
Ph: (503) 352-7333 | Dr Marisol Elisa Beaulac, PSYD
2920 Se Brookwood Ave Ste A,
Hillsboro, OR 97123-8553
Ph: (971) 417-6054 |
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