| Capacity Solutions Llc | |
|
14426 Blue Mountain Way Oregon City OR 97045-3078 | |
| (503) 896-0297 | |
| Not Available |
| Full Name | Capacity Solutions Llc |
|---|---|
| Speciality | Psychologist |
| Location | 14426 Blue Mountain Way, Oregon City, Oregon |
| Authorized Official Name and Position | Angela Plowhead (OWNER/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5033307109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capacity Solutions Llc Po Box 835 Oregon City OR 97045-0056 Ph: (503) 896-0297 | Capacity Solutions Llc 14426 Blue Mountain Way Oregon City OR 97045-3078 Ph: (503) 896-0297 |
| NPI Number | 1356746317 |
|---|---|
| Provider Enumeration Date | 11/02/2014 |
| Last Update Date | 11/02/2014 |
| Medicare PECOS PAC ID | 6103148226 |
|---|---|
| Medicare Enrollment ID | O20141201000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356746317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1899 (Oregon) | Primary |
| Provider Name | Angela D Plowhead |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588823215 PECOS PAC ID: 1557683687 Enrollment ID: I20141201002165 |
| Provider Name | Phyllis Marie Martin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588742753 PECOS PAC ID: 8921095977 Enrollment ID: I20200206000673 |
| Provider Name | Veronica Lee Gentle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619006111 PECOS PAC ID: 6507297421 Enrollment ID: I20200511000031 |
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