| The Path Center | |
|
4035 Ne Sandy Blvd # 200 Portland OR 97212-5331 | |
| (971) 940-2601 | |
| (971) 275-1534 |
| Full Name | The Path Center |
|---|---|
| Speciality | Counselor |
| Location | 4035 Ne Sandy Blvd # 200, Portland, Oregon |
| Authorized Official Name and Position | Gail Woung (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 9719402601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Path Center 4035 Ne Sandy Blvd Ste 240 Portland OR 97212-5331 Ph: (971) 940-2601 | The Path Center 4035 Ne Sandy Blvd # 200 Portland OR 97212-5331 Ph: (971) 940-2601 |
| NPI Number | 1558875476 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 11/01/2022 |
| Certification Date | 11/01/2022 |
| Medicare PECOS PAC ID | 6002155058 |
|---|---|
| Medicare Enrollment ID | O20190308001406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558875476 | NPI | - | NPPES |
| 500738886 | Medicaid | OR | |
| 5006392224 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Oregon) | Primary |
| Provider Name | Ellen B Summers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821120965 PECOS PAC ID: 0648396671 Enrollment ID: I20100928000803 |
| Provider Name | Gail Margaret Hardman-woung |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861571317 PECOS PAC ID: 9537301981 Enrollment ID: I20190308001516 |
| Provider Name | Pauline Ann Robert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326557927 PECOS PAC ID: 5799187274 Enrollment ID: I20210706003038 |
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 |