Mr Christopher Thomas Tucker, LPC | |
712 Se Hawthorne Blvd Ste 100, Portland, OR 97214-3538 | |
(503) 341-5104 | |
Not Available |
Full Name | Mr Christopher Thomas Tucker |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 712 Se Hawthorne Blvd Ste 100, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184995888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | C2436 (Oregon) | Primary |
Entity Name | Clinicops Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275821266 PECOS PAC ID: 9739343245 Enrollment ID: O20120613000647 |
Mailing Address | Practice Location Address |
---|---|
Mr Christopher Thomas Tucker, LPC 712 Se Hawthorne Blvd Ste 100, Portland, OR 97214-3538 Ph: (503) 341-5104 | Mr Christopher Thomas Tucker, LPC 712 Se Hawthorne Blvd Ste 100, Portland, OR 97214-3538 Ph: (503) 341-5104 |
Deanna Gold, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 Ne 19th Ave, Suite 100, Portland, OR 97232 Phone: 503-891-9937 | |
Loren Dale Horton, B.A, M.DIV. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Sw Washington St, Portland, OR 97205 Phone: 503-535-1150 | |
Michael Peter Kender, MA, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 9111 Ne Sunderland Ave, Portland, OR 97211 Phone: 503-280-6646 Fax: 503-280-6051 | |
Laura Ann Allen, MS, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Nw Davis St, Portland, OR 97209 Phone: 503-226-2203 Fax: 503-223-4231 | |
James Paul Bryant, LCSW, CADC 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-964-0000 | |
Michael Ann Benchoff, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Sw Oak Street, Suite 520, Portland, OR 97204 Phone: 503-988-4949 | |
Lynn A Fontana, L.M.F.T, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8035 Ne Prescott St, Portland, OR 97218 Phone: 503-223-7719 Fax: 503-255-4714 |