| Willamette Valley Family Center | |
|
610 Jefferson St Oregon City OR 97045 | |
| (503) 657-7235 | |
| (503) 657-7676 |
| Full Name | Willamette Valley Family Center |
|---|---|
| Speciality | Psychologist |
| Location | 610 Jefferson St, Oregon City, Oregon |
| Authorized Official Name and Position | Norvin R Cooley (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5036577235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willamette Valley Family Center 610 Jefferson St Oregon City OR 97045 Ph: (503) 657-7235 | Willamette Valley Family Center 610 Jefferson St Oregon City OR 97045 Ph: (503) 657-7235 |
| NPI Number | 1730309816 |
|---|---|
| Provider Enumeration Date | 04/30/2007 |
| Last Update Date | 12/16/2011 |
| Medicare PECOS PAC ID | 4082685987 |
|---|---|
| Medicare Enrollment ID | O20050321000670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730309816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Oregon) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Oregon) | Secondary |
| Provider Name | Michelle L Dykstra |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013072586 PECOS PAC ID: 7012961113 Enrollment ID: I20050311000153 |
| Provider Name | Amy Mee-ran Kobus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376697185 PECOS PAC ID: 1557427523 Enrollment ID: I20090305000038 |
| Provider Name | Deborah L White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568510063 PECOS PAC ID: 7214194430 Enrollment ID: I20120131000291 |
| Provider Name | Susan K Preston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396893806 PECOS PAC ID: 4587824024 Enrollment ID: I20120321000198 |
| Provider Name | Thomas E Deshler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134221690 PECOS PAC ID: 1557521960 Enrollment ID: I20120322000044 |
Quest Center For Integrative Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Beavercreek Rd, Oregon City, OR 97045 Phone: 503-238-5203 Fax: 503-238-5202 | |
Carolyn Waterfall Ms Lpc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 Main St Ste 305-8, Oregon City, OR 97045 Phone: 503-686-3918 Fax: 503-624-6352 | |
Parrott Creek Child & Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Molalla Ave Ste 209, Oregon City, OR 97045 Phone: 503-722-4110 | |
Northwest Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Main St, Suite 201, Oregon City, OR 97045 Phone: 503-655-1029 Fax: 503-655-4705 | |
Pnw Counseling Alliance Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 7th St, Oregon City, OR 97045 Phone: 971-389-7218 Fax: 503-386-2587 | |
Neurotherapeutic Pediatric Therapies Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 High St, Oregon City, OR 97045 Phone: 503-657-8903 Fax: 503-266-8632 | |
Kai Marie Snell Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 12th St, Oregon City, OR 97045 Phone: 503-334-5405 Fax: 833-605-7346 |