Mary J Payne, LCPC | |
702 Sunset Dr, Ontario, OR 97914-3121 | |
(541) 889-9167 | |
Not Available |
Full Name | Mary J Payne |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 702 Sunset Dr, Ontario, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225585003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LCPC-7409 (Idaho) | Primary |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
Entity Name | Lifeways Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568558955 PECOS PAC ID: 4183696214 Enrollment ID: O20140410000839 |
Mailing Address | Practice Location Address |
---|---|
Mary J Payne, LCPC 702 Sunset Dr, Ontario, OR 97914-3121 Ph: (541) 889-9167 | Mary J Payne, LCPC 702 Sunset Dr, Ontario, OR 97914-3121 Ph: (541) 889-9167 |
Julie Noethe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-823-9006 Fax: 541-889-7873 | |
Mr. Gary M. Daily, MA, EDS Counselor Medicare: Not Enrolled in Medicare Practice Location: 366 Se 5th St, Ontario, OR 97914 Phone: 208-739-2156 | |
Arthur Yokom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 | |
Angeli D. Butler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 896 Fortner St, Ontario, OR 97914 Phone: 541-881-2828 | |
Peter W. Smith, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-889-7873 | |
Cathy Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr., Ontario, OR 97914 Phone: 541-823-9052 | |
Crystal Copenhaver, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 |