| Umbrella Wellness, Llc | |
|
584 Winchester Ave Reedsport OR 97467-1524 | |
| (541) 662-0614 | |
| Not Available |
| Full Name | Umbrella Wellness, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 584 Winchester Ave, Reedsport, Oregon |
| Authorized Official Name and Position | Heather Jo Bailey (OWNER) |
| Authorized Official Contact | 2082504783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Umbrella Wellness, Llc 625 Hwy. 101 Pmb #218 Florence OR 97439 Ph: (541) 662-0614 | Umbrella Wellness, Llc 584 Winchester Ave Reedsport OR 97467-1524 Ph: (541) 662-0614 |
| NPI Number | 1063164382 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 04/11/2022 |
| Certification Date | 04/11/2022 |
| Medicare PECOS PAC ID | 5799170288 |
|---|---|
| Medicare Enrollment ID | O20220321000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063164382 | NPI | - | NPPES |
| Provider Name | Heather Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538572177 PECOS PAC ID: 2365711843 Enrollment ID: I20190410002297 |
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