| Transitions Professional Center | |
|
6514 Se 42nd Ave Portland OR 97206-7702 | |
| (503) 972-7090 | |
| (833) 527-3447 |
| Full Name | Transitions Professional Center |
|---|---|
| Speciality | Psychologist |
| Location | 6514 Se 42nd Ave, Portland, Oregon |
| Authorized Official Name and Position | Louise Marasco (OWNER/COFOUNDER) |
| Authorized Official Contact | 5039727090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitions Professional Center 4207 Se Woodstock Blvd # 411 Portland OR 97206-6267 Ph: (503) 972-7090 | Transitions Professional Center 6514 Se 42nd Ave Portland OR 97206-7702 Ph: (503) 972-7090 |
| NPI Number | 1578990685 |
|---|---|
| Provider Enumeration Date | 10/03/2013 |
| Last Update Date | 05/15/2020 |
| Certification Date | 05/15/2020 |
| Medicare PECOS PAC ID | 9335378280 |
|---|---|
| Medicare Enrollment ID | O20140219000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578990685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Louise Louise Marasco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295137693 PECOS PAC ID: 2062641913 Enrollment ID: I20141003002302 |
| Provider Name | Serana Kathryn Chester |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184984734 PECOS PAC ID: 7911120795 Enrollment ID: I20191114002438 |
| Provider Name | Kelly N Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316580517 PECOS PAC ID: 8729411079 Enrollment ID: I20191127002077 |
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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 | |
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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 |