West End Counseling Associates, Llc | |
2031 Hawthorne St Ste C Forest Grove OR 97116-1700 | |
(971) 719-5703 | |
Not Available |
Full Name | West End Counseling Associates, Llc |
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Speciality | Social Worker |
Location | 2031 Hawthorne St Ste C, Forest Grove, Oregon |
Authorized Official Name and Position | Chasity Maryland (ADMIN) |
Authorized Official Contact | 3375650599 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West End Counseling Associates, Llc Po Box 428 Forest Grove OR 97116-0428 Ph: (971) 719-5703 | West End Counseling Associates, Llc 2031 Hawthorne St Ste C Forest Grove OR 97116-1700 Ph: (971) 719-5703 |
NPI Number | 1942917034 |
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Provider Enumeration Date | 10/31/2022 |
Last Update Date | 07/07/2023 |
Certification Date | 07/07/2023 |
Medicare PECOS PAC ID | 9335593763 |
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Medicare Enrollment ID | O20231003003251 |
Identifier | Type | State | Issuer |
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1942917034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Susan Bishop |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568768364 PECOS PAC ID: 5597119925 Enrollment ID: I20231003003455 |
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