William Simon, | |
1592 Monroe St, North Bend, OR 97459-3657 | |
(541) 756-2048 | |
(541) 756-2058 |
Full Name | William Simon |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1592 Monroe St, North 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 |
---|---|---|---|
1003193657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Coos County Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811981053 PECOS PAC ID: 1759353071 Enrollment ID: O20040818001343 |
Mailing Address | Practice Location Address |
---|---|
William Simon, 3587 Heathrow Way, Medford, OR 97504-4004 Ph: (541) 858-8170 | William Simon, 1592 Monroe St, North Bend, OR 97459-3657 Ph: (541) 756-2048 |
Mrs. Leanne Maylene Hake, CADCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 1950 Waite St, North Bend, OR 97459 Phone: 541-266-0020 | |
Mr. Jon Byron Albright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Virginia Ave, #201, North Bend, OR 97459 Phone: 541-751-0357 Fax: 541-751-9985 | |
Mrs. Roberta Goldie Grenier, CADC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Virginia Ave, #201, North Bend, OR 97459 Phone: 541-751-0357 Fax: 541-751-9985 | |
Maggie Klapperich, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Virginia Ave Ste 100, North Bend, OR 97459 Phone: 541-672-2691 | |
Jennifer Sue Rodriguez, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1913 Meade St, North Bend, OR 97459 Phone: 541-756-4508 | |
Kelly Andrea Manz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1592 Monroe St, North Bend, OR 97459 Phone: 541-756-2048 Fax: 541-756-2058 |