Mrs Lea S Burns, PSYD | |
425 N Santiam Hwy, Lebanon, OR 97355-4361 | |
(541) 451-6960 | |
Not Available |
Full Name | Mrs Lea S Burns |
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Gender | Female |
Speciality | Psychologist |
Location | 425 N Santiam Hwy, Lebanon, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417264672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 2391 (Oregon) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lea S Burns, PSYD 3722 Ne 67th Ave, Portland, OR 97213-5106 Ph: (541) 451-6960 | Mrs Lea S Burns, PSYD 425 N Santiam Hwy, Lebanon, OR 97355-4361 Ph: (541) 451-6960 |
Shylene Larson, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 S Main St, Lebanon, OR 97355 Phone: 541-451-5932 | |
Mrs. Lila Mcqueen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1711 S Main St, Lebanon, OR 97355 Phone: 541-259-5400 Fax: 541-259-5499 | |
Geoffrey Schaubhut, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 325 Park St, Lebanon, OR 97355 Phone: 320-290-9980 |