David Af Raynolds, MA, LPC is a
Counselor - Professional based in Ashland, Oregon. David Af Raynolds is licensed to practice in Oregon (license number C0943) and his current practice location is
600 Siskiyou Blvd, Ashland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 821-6623.
NPI number for David Af Raynolds is 1619998010 and his current mailing address is Po Box 503010, White City, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619998010.
Healthcare Provider's Profile
| Full Name | David Af Raynolds |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 600 Siskiyou Blvd, Ashland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619998010
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 05/31/2012
Medical Identifiers
Medical identifiers for David Af Raynolds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619998010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | C0943 (Oregon) | Secondary |
| 101YP2500X | Counselor - Professional | C0943 (Oregon) | 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. David Af Raynolds 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 |
|---|
David Af Raynolds, MA, LPC
Po Box 503010,
White City, OR 97503-0813
Ph: (541) 941-7792 | David Af Raynolds, MA, LPC
600 Siskiyou Blvd,
Ashland, OR 97520-2140
Ph: (541) 821-6623 |
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