Nicholas Walker, | |
611 Siskiyou Blvd Ste 8, Ashland, OR 97520-2151 | |
(541) 276-2373 | |
Not Available |
Full Name | Nicholas Walker |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 611 Siskiyou Blvd Ste 8, Ashland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629428719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | C7706 (Oklahoma) | Primary |
Entity Name | Options For Southern Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558366492 PECOS PAC ID: 0941202006 Enrollment ID: O20070217000062 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Walker, 1215 Sw G St, Grants Pass, OR 97526-2544 Ph: (541) 476-2373 | Nicholas Walker, 611 Siskiyou Blvd Ste 8, Ashland, OR 97520-2151 Ph: (541) 276-2373 |
Susan Weiss Brook, MA, LMFT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Susan Ln, Ashland, OR 97520 Phone: 541-488-8003 | |
Heather Elizabeth Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1675 Ashland St, Ashland, OR 97520 Phone: 541-858-8170 Fax: 541-858-8167 | |
Emily Holgen, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 960 Bellview Ave, Ashland, OR 97520 Phone: 541-414-4016 | |
Anthony B Dejack, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1836 Fremont St, Ashland, OR 97520 Phone: 541-482-5792 | |
Vance Terrall, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1836 Fremont St, Ashland, OR 97520 Phone: 541-482-5792 Fax: 541-482-5034 | |
Ms. Kristen Tussey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 233 4th St, Ashland, OR 97520 Phone: 541-787-9246 | |
Matthew Locklin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 Siskiyou Blvd, Suite 8, Ashland, OR 97520 Phone: 541-482-1718 |