Tara Linnea Weldon, MS | |
1400 Nw Irving St, 702, Portland, OR 97209-2210 | |
(509) 389-0388 | |
Not Available |
Full Name | Tara Linnea Weldon |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1400 Nw Irving St, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679959621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
Entity Name | Rogue Psych Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447727110 PECOS PAC ID: 1850632415 Enrollment ID: O20190408002460 |
Mailing Address | Practice Location Address |
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Tara Linnea Weldon, MS 1400 Nw Irving St, 702, Portland, OR 97209-2210 Ph: () - | Tara Linnea Weldon, MS 1400 Nw Irving St, 702, Portland, OR 97209-2210 Ph: (509) 389-0388 |
Deanna Gold, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 Ne 19th Ave, Suite 100, Portland, OR 97232 Phone: 503-891-9937 | |
Loren Dale Horton, B.A, M.DIV. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Sw Washington St, Portland, OR 97205 Phone: 503-535-1150 | |
Michael Peter Kender, MA, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 9111 Ne Sunderland Ave, Portland, OR 97211 Phone: 503-280-6646 Fax: 503-280-6051 | |
Laura Ann Allen, MS, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Nw Davis St, Portland, OR 97209 Phone: 503-226-2203 Fax: 503-223-4231 | |
James Paul Bryant, LCSW, CADC 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-964-0000 | |
Michael Ann Benchoff, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Sw Oak Street, Suite 520, Portland, OR 97204 Phone: 503-988-4949 | |
Lynn A Fontana, L.M.F.T, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8035 Ne Prescott St, Portland, OR 97218 Phone: 503-223-7719 Fax: 503-255-4714 |