Robyn L Herrick, | |
906 Main Ave, Tillamook, OR 97141-3816 | |
(503) 842-8201 | |
(503) 815-1870 |
Full Name | Robyn L Herrick |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 906 Main Ave, Tillamook, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871622480 | NPI | - | NPPES |
197749 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | C2355 (Oregon) | Secondary |
101YM0800X | Counselor - Mental Health | C2355 (Oregon) | Primary |
Entity Name | Options Counseling Services Of Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548275217 PECOS PAC ID: 1658674197 Enrollment ID: O20160215000168 |
Mailing Address | Practice Location Address |
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Robyn L Herrick, 2645 Portland Rd Ne, Salem, OR 97301-0198 Ph: () - | Robyn L Herrick, 906 Main Ave, Tillamook, OR 97141-3816 Ph: (503) 842-8201 |
Kathy J Sias, Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870 | |
Dustin Renee Young, MSW Counselor Medicare: Medicare Enrolled Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870 | |
Jodee Ridderbusch, CADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870 | |
Gary D Frunz, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870 | |
Sandra Lee Hurliman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870 | |
Janette L Boal, RN QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870 | |
Ms. Kimberlee Anne Garner, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870 |