| Ted Cavanaugh, | |
|
120 S Roanoke Ave, Hines, OR 97738-2576 | |
| (541) 573-1780 | |
| Not Available |
| Full Name | Ted Cavanaugh |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 120 S Roanoke Ave, Hines, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689119026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ted Cavanaugh, 120 S Roanoke Ave, Hines, OR 97738-2576 Ph: (541) 573-1780 | Ted Cavanaugh, 120 S Roanoke Ave, Hines, OR 97738-2576 Ph: (541) 573-1780 |
Shannon Carroll, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Roanoke, Hines, OR 97738 Phone: 541-573-1780 Fax: 541-573-1781 | |
Tami Sandell, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 N Milwaukie Ave, Hines, OR 97738 Phone: 541-573-1800 | |
John Barrett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Roanoke Ave, Hines, OR 97738 Phone: 541-573-1780 Fax: 541-573-1781 | |
Kristen Ann Desilets, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Roanoke Ave, Hines, OR 97738 Phone: 541-573-1780 | |
Constantino Nunez-escobedo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Roanoke Ave, Hines, OR 97738 Phone: 541-573-1780 | |
Kenneth Hanson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Roanoke Ave, Hines, OR 97738 Phone: 541-573-8370 | |
Desiree Amber Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 Highway 20 South, Hines, OR 97738 Phone: 541-573-7303 Fax: 541-573-5938 |