Theresa Witkowski, is a
Counselor - Mental Health based in Portland, Oregon. Theresa Witkowski is licensed to practice in * (Not Available) (license number ) and her current practice location is
847 Ne 19th Ave, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 238-0769.
NPI number for Theresa Witkowski is 1649505322 and her current mailing address is Po Box 8459, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649505322.
Provider's Profile
Full Name | Theresa Witkowski |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 847 Ne 19th Ave, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649505322
- Provider Enumeration Date: 10/13/2009
- Last Update Date: 05/19/2016
Medical Identifiers
Medical identifiers for Theresa Witkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649505322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 200940792RN (Oregon) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theresa Witkowski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Theresa Witkowski, Po Box 8459, Portland, OR 97207-8459 Ph: (503) 238-0769 | Theresa Witkowski, 847 Ne 19th Ave, Portland, OR 97232-2684 Ph: (503) 238-0769 |
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