| |
1060 Webber St The Dalles OR 97058-3749 | |
(541) 296-5452 | |
(541) 296-9418 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1060 Webber St, The Dalles, Oregon |
Authorized Official Name and Position | Alexander Barton (DEPUTY DIRECTOR) |
Authorized Official Contact | 5412965452 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1060 Webber St The Dalles OR 97058-3749 Ph: (541) 296-5452 | 1060 Webber St The Dalles OR 97058-3749 Ph: (541) 296-5452 |
NPI Number | 1699745794 |
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Provider Enumeration Date | 01/23/2006 |
Last Update Date | 12/19/2022 |
Medicare PECOS PAC ID | 4385540186 |
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Medicare Enrollment ID | O20031211000600 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699745794 | NPI | - | NPPES |
139431 | Medicaid | OR | |
139670 | Medicaid | OR |
Provider Name | Daniel E Ferber |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1073671368 PECOS PAC ID: 5496701815 Enrollment ID: I20050329000217 |
Provider Name | Mary P Cason |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871651166 PECOS PAC ID: 2860400264 Enrollment ID: I20060327000677 |
Provider Name | Lynette N Alber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952451916 PECOS PAC ID: 0941397681 Enrollment ID: I20071029000191 |
Provider Name | Glen R Patrizio |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962484592 PECOS PAC ID: 2860580198 Enrollment ID: I20071120000112 |
Provider Name | Laurence Colman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1225106032 PECOS PAC ID: 4183760663 Enrollment ID: I20091014000427 |
Provider Name | Kimberly A Humann |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1417919325 PECOS PAC ID: 3072529262 Enrollment ID: I20100126000139 |
Provider Name | Kolby Walker |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144541376 PECOS PAC ID: 2264679711 Enrollment ID: I20140808002315 |
Provider Name | Maria A Martinez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871893651 PECOS PAC ID: 5597087882 Enrollment ID: I20141121001570 |
Provider Name | Frederick G Williams |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346558244 PECOS PAC ID: 4981921210 Enrollment ID: I20150326000758 |
Provider Name | Aalamgeer Ibrahim |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386838795 PECOS PAC ID: 1153578893 Enrollment ID: I20190325000262 |
Provider Name | Helen M Birkbeck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518037860 PECOS PAC ID: 3173792215 Enrollment ID: I20190329001701 |
Provider Name | Rachel C Morenz |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275977472 PECOS PAC ID: 3971744491 Enrollment ID: I20200203001367 |
Provider Name | Breana Nicole Hesse |
---|---|
Provider Type | Practitioner - Other (non-physician) |
Provider Identifiers | NPI Number: 1386207447 PECOS PAC ID: 6608206149 Enrollment ID: I20200423001493 |
Provider Name | Kristen Colleen Mccaffrey Fourcade |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265720924 PECOS PAC ID: 9032530951 Enrollment ID: I20200612000585 |
Provider Name | Lorena Scott |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093020455 PECOS PAC ID: 6305066069 Enrollment ID: I20211202000611 |
Provider Name | John Oliver Blosser |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1659947265 PECOS PAC ID: 2769832351 Enrollment ID: I20231222000148 |
Provider Name | Karrie Marie Rambo |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1841862927 PECOS PAC ID: 8426408634 Enrollment ID: I20240102000094 |
Provider Name | Edwin Romel Soriano De Leon |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871735464 PECOS PAC ID: 7618192303 Enrollment ID: I20240102000889 |
Provider Name | Steven Seeley |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1639539315 PECOS PAC ID: 5092165191 Enrollment ID: I20240102003700 |
Provider Name | Elizabeth Barteld |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750653150 PECOS PAC ID: 4082064183 Enrollment ID: I20240102003742 |
Provider Name | Misty Lynn Lacy |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1487161774 PECOS PAC ID: 2961852967 Enrollment ID: I20240102003879 |
Provider Name | Kalyn Sherwood |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740842616 PECOS PAC ID: 7911357959 Enrollment ID: I20240103001103 |
Provider Name | Cecile Marie Connelly |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1013289628 PECOS PAC ID: 6507217957 Enrollment ID: I20240110000978 |
Provider Name | Rhea Hazen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528627874 PECOS PAC ID: 5496084055 Enrollment ID: I20240117000120 |
Provider Name | Terrill Dean Rogers |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1033245444 PECOS PAC ID: 4082669098 Enrollment ID: I20240220001095 |
Provider Name | Michael James-logan Kite |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1386059731 PECOS PAC ID: 2163866088 Enrollment ID: I20240220001097 |
Provider Name | Alexander P Barton |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1649416884 PECOS PAC ID: 1153518055 Enrollment ID: I20240227000367 |
Provider Name | Krystal Marie Browne |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1326704636 PECOS PAC ID: 8729525191 Enrollment ID: I20240802000983 |
Provider Name | Alison Emily Burke |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1588154165 PECOS PAC ID: 3072995695 Enrollment ID: I20240814003820 |
Provider Name | Mathias Martin Green |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1003321753 PECOS PAC ID: 2264883214 Enrollment ID: I20240826002961 |
Provider Name | Deevonna Frasier |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1932614690 PECOS PAC ID: 2769923887 Enrollment ID: I20240917001863 |
Provider Name | Mckenzie Rae Mellow |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1578136800 PECOS PAC ID: 9931630597 Enrollment ID: I20241007002014 |
Provider Name | Jessica Michelle Catellier |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1649930355 PECOS PAC ID: 1658803416 Enrollment ID: I20241017001975 |
Provider Name | Margo Chamberlain |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1306554522 PECOS PAC ID: 5193251932 Enrollment ID: I20241204000840 |
Mid-columbia Health Service, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-296-7760 Fax: 541-296-7619 | |
Columbia River Medical Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 E 12th St, Suite 100, The Dalles, OR 97058 Phone: 541-296-1919 Fax: 541-296-2253 |