Nicole Marie Estrada, LMFT, LPC is a
Marriage & Family Therapist based in Grand Ronde, Oregon. Nicole Marie Estrada is licensed to practice in Oregon (license number T0986) and her current practice location is
9615 Grand Ronde Rd, Grand Ronde, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 879-2026.
NPI number for Nicole Marie Estrada is 1093073439 and her current mailing address is 9615 Grand Ronde Rd, Grand Ronde, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093073439.
Healthcare Provider's Profile
Full Name | Nicole Marie Estrada |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 9615 Grand Ronde Rd, Grand Ronde, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093073439
- Provider Enumeration Date: 04/23/2012
- Last Update Date: 10/14/2014
Medical Identifiers
Medical identifiers for Nicole Marie Estrada such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093073439 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | IMF 54034 (California) | Secondary |
106H00000X | Marriage & Family Therapist | IMF 54034 (California) | Secondary |
106H00000X | Marriage & Family Therapist | LMFT77123 (California) | Secondary |
106H00000X | Marriage & Family Therapist | T0986 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Marie Estrada is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Marie Estrada, LMFT, LPC 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2026 | Nicole Marie Estrada, LMFT, LPC 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2026 |
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