| Lifeworks Nw | |
|
5415 Sw Westgate Drive Portland OR 97221-2406 | |
| (503) 645-3581 | |
| (503) 629-8517 |
| Full Name | Lifeworks Nw |
|---|---|
| Speciality | Counselor |
| Location | 5415 Sw Westgate Drive, Portland, Oregon |
| Authorized Official Name and Position | Mary Monnat (CEO) |
| Authorized Official Contact | 5036453581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeworks Nw 5415 Sw Westgate Drive Portland OR 97221-2406 Ph: (503) 645-3581 | Lifeworks Nw 5415 Sw Westgate Drive Portland OR 97221-2406 Ph: (503) 645-3581 |
| NPI Number | 1467408013 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 03/09/2022 |
| Certification Date | 03/09/2022 |
| Medicare PECOS PAC ID | 1850282575 |
|---|---|
| Medicare Enrollment ID | O20040323000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467408013 | NPI | - | NPPES |
| 197640 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Cher Yao Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306940531 PECOS PAC ID: 7911922984 Enrollment ID: I20051008000231 |
| Provider Name | Jonathan P Betlinski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992802763 PECOS PAC ID: 0244237212 Enrollment ID: I20061106000037 |
| Provider Name | Kathie L Yelliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023123494 PECOS PAC ID: 2961585971 Enrollment ID: I20080214000263 |
| Provider Name | Robert Olsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518095728 PECOS PAC ID: 1153386107 Enrollment ID: I20080918000313 |
| Provider Name | Mary K Calderon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285874933 PECOS PAC ID: 8729142765 Enrollment ID: I20090205000445 |
| Provider Name | Kimberly A Humann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417919325 PECOS PAC ID: 3072529262 Enrollment ID: I20100126000139 |
| Provider Name | Sandra D Dixon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598894917 PECOS PAC ID: 1951596089 Enrollment ID: I20101115000339 |
| Provider Name | Eva A Sripada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871865311 PECOS PAC ID: 2961668066 Enrollment ID: I20120717000677 |
| Provider Name | Alisha R Moreland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225270408 PECOS PAC ID: 4486809126 Enrollment ID: I20130313000131 |
| Provider Name | Ian R Starr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174768865 PECOS PAC ID: 4688819121 Enrollment ID: I20130403000632 |
| Provider Name | Bryan M Hagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790872000 PECOS PAC ID: 4981842291 Enrollment ID: I20130528000684 |
| Provider Name | Janice T Shelby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821128927 PECOS PAC ID: 7012157464 Enrollment ID: I20130708000222 |
| Provider Name | Michael S Stanley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750516456 PECOS PAC ID: 7315192259 Enrollment ID: I20130926000501 |
| Provider Name | Gerald Peake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912036872 PECOS PAC ID: 8729206297 Enrollment ID: I20140825001381 |
| Provider Name | Monique M Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659692747 PECOS PAC ID: 7416177092 Enrollment ID: I20150206001157 |
| Provider Name | Emily Boers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083939458 PECOS PAC ID: 3072832948 Enrollment ID: I20150428001381 |
| Provider Name | Emily Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326143009 PECOS PAC ID: 0244530343 Enrollment ID: I20151120002490 |
| Provider Name | Brendan A Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326390980 PECOS PAC ID: 0143542332 Enrollment ID: I20161115000290 |
| Provider Name | Elizabeth A Schmick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063750925 PECOS PAC ID: 7113203597 Enrollment ID: I20170419002374 |
| Provider Name | Rebecca M Sauer Stach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689891376 PECOS PAC ID: 5395014831 Enrollment ID: I20170627001210 |
| Provider Name | Emily T Demarco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366882177 PECOS PAC ID: 3577879089 Enrollment ID: I20171006002073 |
| Provider Name | Jun Ying Ao |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548396450 PECOS PAC ID: 1456617026 Enrollment ID: I20171115000211 |
| Provider Name | Karen Joanne Bos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447561014 PECOS PAC ID: 0840455440 Enrollment ID: I20180912001806 |
| Provider Name | Annemieke Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295239168 PECOS PAC ID: 6406107101 Enrollment ID: I20180919001973 |
| Provider Name | Lyntressa Danielle Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083955793 PECOS PAC ID: 3375784911 Enrollment ID: I20181101002152 |
| Provider Name | Jacqueline H Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508254517 PECOS PAC ID: 9436403458 Enrollment ID: I20181109002725 |
| Provider Name | Danielle C Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548409048 PECOS PAC ID: 4688924285 Enrollment ID: I20181113000818 |
| Provider Name | Jeramy Richard Peters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932594066 PECOS PAC ID: 6204143308 Enrollment ID: I20190717002773 |
| Provider Name | Cortney A Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295113876 PECOS PAC ID: 2961718473 Enrollment ID: I20201101000024 |
| Provider Name | Anushka Shenoy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689008682 PECOS PAC ID: 3678845674 Enrollment ID: I20211115002798 |
| Provider Name | Tara Candela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861025256 PECOS PAC ID: 5991114621 Enrollment ID: I20220107000771 |
| Provider Name | Jeslyn T.k Stamm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336403849 PECOS PAC ID: 6901341973 Enrollment ID: I20240715001013 |
| Provider Name | James P Gurule |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003945866 PECOS PAC ID: 3173068814 Enrollment ID: I20240717002673 |
| Provider Name | Kirsten E Braudt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285021105 PECOS PAC ID: 1456898303 Enrollment ID: I20240808004291 |
| Provider Name | Angela M Abousamra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790169340 PECOS PAC ID: 9436697281 Enrollment ID: I20240812003965 |
| Provider Name | Patricia Ann Demsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043517188 PECOS PAC ID: 4183808272 Enrollment ID: I20240826002888 |
| Provider Name | Leslie G Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689867335 PECOS PAC ID: 8921549031 Enrollment ID: I20240917001037 |
| Provider Name | Justin D Galasso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225346661 PECOS PAC ID: 4486195856 Enrollment ID: I20240925002659 |
| Provider Name | Helen Sayas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891234605 PECOS PAC ID: 5698216067 Enrollment ID: I20240925002944 |
| Provider Name | Sarah Y Healy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235689936 PECOS PAC ID: 0749721124 Enrollment ID: I20240925003113 |
| Provider Name | Juliana Marler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942813704 PECOS PAC ID: 7810428679 Enrollment ID: I20241003001750 |
| Provider Name | Amy R Karr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841984291 PECOS PAC ID: 4981142163 Enrollment ID: I20241014002165 |
| Provider Name | Alicia L Brunson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972903771 PECOS PAC ID: 7416480280 Enrollment ID: I20241031003367 |
| Provider Name | Wesley A Curton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356006282 PECOS PAC ID: 8921532524 Enrollment ID: I20241105001540 |
Sandra M. Gonzalez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Sw Morrison St, Suite 411, Portland, OR 97205 Phone: 503-228-0939 Fax: 503-226-8069 | |
Wellpath Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Se Milwaukie Ave Ste D, Portland, OR 97202 Phone: 503-784-2377 | |
Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
Cultivating A New Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Se Spokane St Ste 300, Portland, OR 97202 Phone: 541-904-0468 | |
Tiffany Kettermann, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2926 Ne Flanders St Ste 3c, Portland, OR 97232 Phone: 971-270-0167 |