| Faith, Hope & Healing | |
|
17933 Nw Evergreen Pl Ste 111 Beaverton OR 97006-7531 | |
| (814) 243-0414 | |
| (814) 479-5906 |
| Full Name | Faith, Hope & Healing |
|---|---|
| Speciality | Counselor |
| Location | 17933 Nw Evergreen Pl Ste 111, Beaverton, Oregon |
| Authorized Official Name and Position | Patricia Griesheimer (COO) |
| Authorized Official Contact | 8142430414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith, Hope & Healing 3159 Carpenters Park Rd Davidsville PA 15928-9223 Ph: (814) 243-0414 | Faith, Hope & Healing 17933 Nw Evergreen Pl Ste 111 Beaverton OR 97006-7531 Ph: (814) 243-0414 |
| NPI Number | 1417607912 |
|---|---|
| Provider Enumeration Date | 03/27/2022 |
| Last Update Date | 05/18/2022 |
| Certification Date | 05/18/2022 |
| Medicare PECOS PAC ID | 5294190583 |
|---|---|
| Medicare Enrollment ID | O20230606002804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417607912 | NPI | - | NPPES |
| 9999999999999 | Medicaid | PA | |
| 9999999999999 | Medicaid | TX | |
| 9999999999999 | Medicaid | OH | |
| 500805656 | Medicaid | OR |
| Provider Name | Terry Alicia Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215025481 PECOS PAC ID: 0547418857 Enrollment ID: I20190604002152 |
| Provider Name | Marilyn J Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407041775 PECOS PAC ID: 4789049073 Enrollment ID: I20230517003194 |
| Provider Name | Long Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861694424 PECOS PAC ID: 8820122393 Enrollment ID: I20230517003323 |
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