| Mary W. Lu, Md, Llc | |
|
1942 Nw Kearney St Ste 24 Portland OR 97209-1465 | |
| (971) 350-8968 | |
| Not Available |
| Full Name | Mary W. Lu, Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1942 Nw Kearney St Ste 24, Portland, Oregon |
| Authorized Official Name and Position | Mary Lu (MEMBER) |
| Authorized Official Contact | 9713508968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary W. Lu, Md, Llc 2908 Nw Thurman St Portland OR 97210-1941 Ph: (350) 971-8968 | Mary W. Lu, Md, Llc 1942 Nw Kearney St Ste 24 Portland OR 97209-1465 Ph: (971) 350-8968 |
| NPI Number | 1609412204 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 11/19/2019 |
| Medicare PECOS PAC ID | 6608202080 |
|---|---|
| Medicare Enrollment ID | O20200203001531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609412204 | NPI | - | NPPES |
| 1336228386 | Other | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mary W Lu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336228386 PECOS PAC ID: 5395759971 Enrollment ID: I20060202000840 |
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 | |
Cascadia Behavioral Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9125 Sw 55th Ave, Portland, OR 97219 Phone: 503-238-0769 Fax: 503-477-4598 | |
Edwards Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St, Suite 1100, Portland, OR 97205 Phone: 503-222-0557 | |
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 |