| David C Wade Psy D Pc | |
|
1100 E Marina Way Suite 221 Hood River OR 97031-2305 | |
| (541) 436-2998 | |
| Not Available |
| Full Name | David C Wade Psy D Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1100 E Marina Way, Hood River, Oregon |
| Authorized Official Name and Position | David C Wade (DR) |
| Authorized Official Contact | 5414362998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David C Wade Psy D Pc Po Box 2289 White Salmon WA 98672-2289 Ph: (509) 493-1467 | David C Wade Psy D Pc 1100 E Marina Way Suite 221 Hood River OR 97031-2305 Ph: (541) 436-2998 |
| NPI Number | 1124184221 |
|---|---|
| Provider Enumeration Date | 12/31/2006 |
| Last Update Date | 03/21/2013 |
| Medicare PECOS PAC ID | 1557438702 |
|---|---|
| Medicare Enrollment ID | O20080930000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124184221 | NPI | - | NPPES |
| 400707 | Other | OR | VALUE OPTIONS |
| 885235000 | Other | OR | BCBS |
| 115025 | Other | OR | MANAGED HEALTH NETWORK |
| YC73001 | Other | OR | PACIFIC SOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1081 (Oregon) | Primary |
| Provider Name | David C Wade |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891838835 PECOS PAC ID: 1759362346 Enrollment ID: I20040528000598 |
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