Ms Brenda Lee Kellermann, CADC1,QMHA is a
Case Manager/care Coordinator based in Portland, Oregon. Ms Brenda Lee Kellermann is licensed to practice in * (Not Available) (license number ) and her current practice location is
2415 Se 43rd Ave, Suite 200, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 230-9654.
NPI number for Ms Brenda Lee Kellermann is 1255487674 and her current mailing address is 2415 Se 43rd Ave, Suite 200, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255487674.
Healthcare Provider's Profile
| Full Name | Ms Brenda Lee Kellermann |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 2415 Se 43rd Ave, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255487674
- Provider Enumeration Date: 01/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Brenda Lee Kellermann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255487674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Ms Brenda Lee Kellermann 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 |
|---|
Ms Brenda Lee Kellermann, CADC1,QMHA
2415 Se 43rd Ave, Suite 200,
Portland, OR 97206-1600
Ph: (503) 230-9654 | Ms Brenda Lee Kellermann, CADC1,QMHA
2415 Se 43rd Ave, Suite 200,
Portland, OR 97206-1600
Ph: (503) 230-9654 |
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