Raymond Pastorino, PHD | |
1201 E 36th Ave, Anchorage, AK 99508 | |
(907) 562-9229 | |
(907) 562-1603 |
Full Name | Raymond Pastorino |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 1201 E 36th Ave, Anchorage, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003828062 | NPI | - | NPPES |
1029327 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 445 (Alaska) | Primary |
Entity Name | Providence Health & Services- Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093956278 PECOS PAC ID: 1557408176 Enrollment ID: O20091029000679 |
Mailing Address | Practice Location Address |
---|---|
Raymond Pastorino, PHD Po Box 4105, Portland, OR 97208-4105 Ph: (866) 907-1068 | Raymond Pastorino, PHD 1201 E 36th Ave, Anchorage, AK 99508 Ph: (907) 562-9229 |
James Kyle Timmons, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1020 Potlatch Cir, Anchorage, AK 99503 Phone: 907-947-1862 | |
Dr. Sally Schliesmann, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2846 Redwood Pl, Anchorage, AK 99508 Phone: 907-278-1200 Fax: 907-276-3147 | |
Cale Palmer, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3001 C St, Anchorage, AK 99503 Phone: 907-273-4023 | |
Suzette Lewis, PSY. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2121 Abbott Rd, Anchorage, AK 99507 Phone: 907-522-7080 Fax: 907-522-7088 | |
Dennis Gall, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4050 Lake Otis Pkwy Ste 105, Anchorage, AK 99508 Phone: 907-433-9628 | |
Kelley Russell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1201 N Muldoon Rd, Anchorage, AK 99504 Phone: 907-257-4700 |