Maia Lucy Penchansky, RD, LD is a
Counselor - Mental Health based in West Linn, Oregon. Maia Lucy Penchansky is licensed to practice in Oregon (license number ) and her current practice location is
2990 Brandywine Dr, West Linn, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 766-2645.
NPI number for Maia Lucy Penchansky is 1548743354 and her current mailing address is 2990 Brandywine Dr, West Linn, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548743354.
Healthcare Provider's Profile
Full Name | Maia Lucy Penchansky |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 2990 Brandywine Dr, West Linn, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548743354
- Provider Enumeration Date: 09/08/2018
- Last Update Date: 12/04/2023
Medical Identifiers
Medical identifiers for Maia Lucy Penchansky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548743354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD-D-10193411 (Oregon) | Secondary |
101YM0800X | Counselor - Mental Health | (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. Maia Lucy Penchansky 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 |
Maia Lucy Penchansky, RD, LD 2990 Brandywine Dr, West Linn, OR 97068-8313 Ph: (503) 766-2645 | Maia Lucy Penchansky, RD, LD 2990 Brandywine Dr, West Linn, OR 97068-8313 Ph: (503) 766-2645 |
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