| Brain Modulation Tillamook | |
|
2003 2nd Street Tillamook OR 97141-2303 | |
| (503) 462-1021 | |
| (844) 880-6589 |
| Full Name | Brain Modulation Tillamook |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2003 2nd Street, Tillamook, Oregon |
| Authorized Official Name and Position | Donald Olson (OWNER) |
| Authorized Official Contact | 5039698822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Modulation Tillamook 3070 Bristol Pike Suite 2-220 Bensalem PA 19020-5361 Ph: () - | Brain Modulation Tillamook 2003 2nd Street Tillamook OR 97141-2303 Ph: (503) 462-1021 |
| NPI Number | 1871250274 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 11/19/2021 |
| Certification Date | 11/19/2021 |
| Medicare PECOS PAC ID | 6406240332 |
|---|---|
| Medicare Enrollment ID | O20220218001144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871250274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Donald R Olson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1760419634 PECOS PAC ID: 2769475318 Enrollment ID: I20061025000727 |
Patricia A. Blondo, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Main Street, Suite 6, Tillamook, OR 97141 Phone: 503-801-0369 | |
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