| Polk County Mental Health | |
|
182 Sw Academy Suite 304 Dallas OR 97338-1922 | |
| (503) 623-9289 | |
| (503) 831-1726 |
| Full Name | Polk County Mental Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 182 Sw Academy, Dallas, Oregon |
| Authorized Official Name and Position | Greg P Hansen (POLK COUNTY ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 5036238173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Polk County Mental Health 182 Sw Academy Polk County Medical Health Suite 310 Dallas OR 97338-1922 Ph: (503) 623-9317 | Polk County Mental Health 182 Sw Academy Suite 304 Dallas OR 97338-1922 Ph: (503) 623-9289 |
| NPI Number | 1427081470 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 09/05/2007 |
| Medicare PECOS PAC ID | 7315930492 |
|---|---|
| Medicare Enrollment ID | O20040405001567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427081470 | NPI | - | NPPES |
| 152660 | Medicaid | OR |
| Provider Name | Alfredo J Soto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841308632 PECOS PAC ID: 4688638422 Enrollment ID: I20041112000237 |
| Provider Name | Lori L Linton Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336297985 PECOS PAC ID: 1052350071 Enrollment ID: I20050428001143 |
| Provider Name | June S Longway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225023559 PECOS PAC ID: 8123038965 Enrollment ID: I20060425000170 |
| Provider Name | Jannell D Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194164830 PECOS PAC ID: 6901033224 Enrollment ID: I20131212000778 |
| Provider Name | Chad M Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497989669 PECOS PAC ID: 2567500580 Enrollment ID: I20210423002128 |
| Provider Name | Dale Lachance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568937563 PECOS PAC ID: 3274887591 Enrollment ID: I20210604001657 |
| Provider Name | Cheryl Ann Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013094093 PECOS PAC ID: 4587621909 Enrollment ID: I20211124000993 |
| Provider Name | Reva M Vrana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932546447 PECOS PAC ID: 8224305248 Enrollment ID: I20221031001111 |
Oregon Recovery Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 Sw Court St, Dallas, OR 97338 Phone: 503-304-4358 | |
Polk County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726 | |
Clear Paths Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 Sw Court, Dallas, OR 97338 Phone: 503-831-1423 Fax: 503-831-1573 | |
Polk County Health And Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 | |
Polk County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726 | |
Thrive Therapy & Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Ne Evergreen Ave, Dallas, OR 97338 Phone: 503-383-1422 |