Marlissa Suzanne Dix, LPC | |
3175 Ne Aloclek Dr, Hillsboro, OR 97124-7135 | |
(503) 240-6210 | |
Not Available |
Full Name | Marlissa Suzanne Dix |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3175 Ne Aloclek Dr, Hillsboro, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063602886 | NPI | - | NPPES |
123190 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | C2340 (Oregon) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
Mailing Address | Practice Location Address |
---|---|
Marlissa Suzanne Dix, LPC 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 Ph: (503) 813-2000 | Marlissa Suzanne Dix, LPC 3175 Ne Aloclek Dr, Hillsboro, OR 97124-7135 Ph: (503) 240-6210 |
Sabrina Jen Walters, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 21210 Nw Mauzey Rd, Hillsboro, OR 97124 Phone: 503-439-9531 Fax: 503-531-3841 | |
Francesca Guglielmi, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 Se 8th Ave Ste 212, Hillsboro, OR 97123 Phone: 503-352-7333 | |
Merribeth Weber Vaughn, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 971 Sw Walnut St, Hillsboro, OR 97123 Phone: 503-640-5297 Fax: 503-640-5780 | |
Bryan Laurence Kelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 971 Sw Walnut St, Hillsboro, OR 97123 Phone: 503-640-5297 Fax: 503-640-5780 | |
Stephanie Twellman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8280 Ne Mauzey Ct, Hillsboro, OR 97124 Phone: 503-439-9531 | |
Kayla Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 Se 8th Ave Ste 212, Hillsboro, OR 97123 Phone: 503-352-2400 | |
Miss Taylor Marie Proper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 Se 8th Ave, Suite 212, Hillsboro, OR 97123 Phone: 503-352-7333 |