Scout Northway, MA | |
765 Se Mount Hood Hwy Apt 231, Gresham, OR 97080-7109 | |
(503) 833-2846 | |
Not Available |
Full Name | Scout Northway |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 765 Se Mount Hood Hwy Apt 231, Gresham, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073275079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Owls Nest North Therapy Joint |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376948232 PECOS PAC ID: 0840734943 Enrollment ID: O20240701000735 |
Mailing Address | Practice Location Address |
---|---|
Scout Northway, MA 765 Se Mount Hood Hwy Apt 231, Gresham, OR 97080-7109 Ph: (503) 833-2846 | Scout Northway, MA 765 Se Mount Hood Hwy Apt 231, Gresham, OR 97080-7109 Ph: (503) 833-2846 |
Deanna Rae Shields, CADC-R/CHW/CRM/PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 355 Nw Division St, Gresham, OR 97030 Phone: 503-231-2641 Fax: 503-231-1654 | |
Amy Marie Elness, CADC II/QMHA-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Ne 2nd St, Gresham, OR 97030 Phone: 971-274-3757 Fax: 503-912-5740 | |
Joey Owen Patton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 E Powell Blvd, Gresham, OR 97030 Phone: 360-977-0450 | |
Mr. Sammy Travis Freshner Jr., M.ED, MAC, LPCRA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1584 Ne 8th St Ste 200, Gresham, OR 97030 Phone: 503-890-8773 | |
Laurie Anne Ricken, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Ne 7th St, Gresham, OR 97030 Phone: 503-661-5455 | |
Mr. David J. Lowe, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1890 Ne Cleveland Ave, Gresham, OR 97030 Phone: 503-492-1200 | |
Drake Miyake, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 300, Gresham, OR 97030 Phone: 503-258-4600 |