| Clearing Skies Llc | |
|
10700 Sw Beaverton Hillsdale Hwy Ste 560 Beaverton OR 97005-4791 | |
| (971) 381-4709 | |
| (503) 214-8921 |
| Full Name | Clearing Skies Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, Oregon |
| Authorized Official Name and Position | Andrew Drwenski (OWNER/PROVIDER) |
| Authorized Official Contact | 9713814709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearing Skies Llc 19572 Sw Limestone Ct Aloha OR 97003-2500 Ph: (971) 381-4709 | Clearing Skies Llc 10700 Sw Beaverton Hillsdale Hwy Ste 560 Beaverton OR 97005-4791 Ph: (971) 381-4709 |
| NPI Number | 1518665231 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 3971942475 |
|---|---|
| Medicare Enrollment ID | O20240417000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518665231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrew Drwenski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851985352 PECOS PAC ID: 5395145494 Enrollment ID: I20210610002790 |
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