| Opal Institute Llc | |
|
14780 Sw Osprey Dr. #285 Beaverton OR 97007 | |
| (503) 308-4251 | |
| (503) 591-8628 |
| Full Name | Opal Institute Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 14780 Sw Osprey Dr. #285, Beaverton, Oregon |
| Authorized Official Name and Position | Amy Susan Schultz (OWNER) |
| Authorized Official Contact | 5033084251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Opal Institute Llc 14780 Sw Osprey Dr. #285 Beaverton OR 97007 Ph: (503) 308-4251 | Opal Institute Llc 14780 Sw Osprey Dr. #285 Beaverton OR 97007 Ph: (503) 308-4251 |
| NPI Number | 1639472319 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 04/17/2013 |
| Medicare PECOS PAC ID | 4587844014 |
|---|---|
| Medicare Enrollment ID | O20110215000914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639472319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1639 (Oregon) | Primary |
| Provider Name | Amy S Friday |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013084300 PECOS PAC ID: 0840254025 Enrollment ID: I20041117000456 |
| Provider Name | C Chyrelle Martin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881921120 PECOS PAC ID: 6608018973 Enrollment ID: I20130815000797 |
Restoring Balance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12725 Sw Millikan Way Ste 300, Beaverton, OR 97005 Phone: 503-749-9076 | |
Empowered Resilience Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3865 Sw Hall Blvd, Beaverton, OR 97005 Phone: 971-477-4050 | |
Neekee Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16100 Nw Cornell Rd Ste 220, Beaverton, OR 97006 Phone: 971-500-6799 Fax: 503-922-6676 | |
Living Waters Counsel Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14376 Sw Farmington Rd, Beaverton, OR 97005 Phone: 503-567-7604 | |
Wisdom Serenity Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, OR 97005 Phone: 971-325-2625 | |
Sophia Hang, Psy. D. (sole Proprietor) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6935 S.w. Hall Blvd, Beaverton, OR 97008 Phone: 503-642-2086 Fax: 508-649-3628 | |
Starlight Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18330 Sw Deline St, Beaverton, OR 97078 Phone: 602-622-5917 |