Nicole M Von Laven, MA | |
63311 Jamison St, Bend, OR 97703-8288 | |
(541) 585-7210 | |
(541) 585-7209 |
Full Name | Nicole M Von Laven |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 63311 Jamison St, Bend, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528598109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | R5203 (Oregon) | Secondary |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | C7715 (Oregon) | Primary |
Entity Name | Deschutes County Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235172180 PECOS PAC ID: 9638083371 Enrollment ID: O20031117000568 |
Mailing Address | Practice Location Address |
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Nicole M Von Laven, MA 2577 Ne Courtney Dr, Bend, OR 97701-7752 Ph: (541) 322-7500 | Nicole M Von Laven, MA 63311 Jamison St, Bend, OR 97703-8288 Ph: (541) 585-7210 |
Mr. Joshua Seth Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 63360 Nw Britta St Ste 1, Bend, OR 97701 Phone: 541-318-4845 | |
Joanne White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2577 Ne Courtney Dr, Bend, OR 97701 Phone: 541-322-7500 Fax: 541-322-7565 | |
Jenny Marie Wolleat, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1646 Ne Edgecliff Cir, Bend, OR 97701 Phone: 971-506-5366 | |
Cara Miller, Counselor Medicare: Medicare Enrolled Practice Location: 20370 Poe Sholes Dr, Bend, OR 97701 Phone: 541-318-1377 | |
Mrs. Stacy Ann Campbell, LPC, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Nw Park Pl, Bend, OR 97703 Phone: 208-577-1595 Fax: 541-640-5538 | |
Dr. Ryan F Reese, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 925 Nw Wall St, Bend, OR 97703 Phone: 541-241-6575 | |
Corey May, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 354 Ne Greenwood Ave Ste 215, Bend, OR 97701 Phone: -- |