Jada Danae Elder, is a
Counselor based in Portland, Oregon. Jada Danae Elder is licensed to practice in * (Not Available) (license number ) and her current practice location is
3415 Se Powell Blvd, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 961-5101.
NPI number for Jada Danae Elder is 1346953890 and her current mailing address is 3415 Se Powell Blvd, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346953890.
Healthcare Provider's Profile
| Full Name | Jada Danae Elder |
|---|
| Gender | Female |
|---|
| Speciality | Counselor |
|---|
| Location | 3415 Se Powell Blvd, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1346953890
- Provider Enumeration Date: 12/29/2022
- Last Update Date: 12/29/2022
Medical Identifiers
Medical identifiers for Jada Danae Elder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346953890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (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. Jada Danae Elder 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 |
|---|
Jada Danae Elder,
3415 Se Powell Blvd,
Portland, OR 97202-3371
Ph: () - | Jada Danae Elder,
3415 Se Powell Blvd,
Portland, OR 97202-3371
Ph: (503) 961-5101 |
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