Susan K Preston, PHD | |
610 Jefferson St, Oregon City, OR 97045 | |
(503) 657-7235 | |
(503) 657-7676 |
Full Name | Susan K Preston |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 610 Jefferson St, Oregon City, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396893806 | NPI | - | NPPES |
083720 | Medicaid | OR | |
037722 | Other | MHN HMC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0848 (Oregon) | Primary |
Entity Name | Willamette Valley Family Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730309816 PECOS PAC ID: 4082685987 Enrollment ID: O20050321000670 |
Mailing Address | Practice Location Address |
---|---|
Susan K Preston, PHD 610 Jefferson St, Oregon City, OR 97045 Ph: (503) 657-7235 | Susan K Preston, PHD 610 Jefferson St, Oregon City, OR 97045 Ph: (503) 657-7235 |
Michelle Lee Dykstra, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 610 Jefferson St, Oregon City, OR 97045 Phone: 503-657-7235 Fax: 503-657-7676 | |
Thomas Deshler, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 610 Jefferson St, Oregon City, OR 97045 Phone: 503-657-7235 Fax: 503-657-7676 | |
Norvin R Cooley, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 610 Jefferson St, Oregon City, OR 97045 Phone: 503-657-7235 Fax: 503-657-7676 | |
Dr. Timofey Sergeyevich Galuza, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14279 Glen Oak Rd, Oregon City, OR 97045 Phone: 503-657-7629 | |
Joan Pugh, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1508 Division St Ste 205, Oregon City, OR 97045 Phone: 503-657-1071 Fax: 503-657-3321 | |
Ava Marie Stone, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 610 Jefferson St, Willamette Valley Family Center, Oregon City, OR 97045 Phone: 503-657-7235 Fax: 503-657-7235 |