Mrs Amanda Mae Equall Lacombe, MA | |
290 Moyer Ln Nw, Salem, OR 97304-3822 | |
(503) 370-8990 | |
(503) 363-4214 |
Full Name | Mrs Amanda Mae Equall Lacombe |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 290 Moyer Ln Nw, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144415191 | NPI | - | NPPES |
195164 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Entity Name | R. Scott Babe Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114337409 PECOS PAC ID: 6204220098 Enrollment ID: O20220311001954 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amanda Mae Equall Lacombe, MA 290 Moyer Ln Nw, Po Box 5193, Salem, OR 97304-3822 Ph: (503) 370-8990 | Mrs Amanda Mae Equall Lacombe, MA 290 Moyer Ln Nw, Salem, OR 97304-3822 Ph: (503) 370-8990 |
Diane Marie Mclendon, QMHP Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3325 Harold Dr Ne, Salem, OR 97305 Phone: 503-363-2021 | |
Courtney Hagemann, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 565 Union St Ne Ste 103, Salem, OR 97301 Phone: 503-316-6770 | |
Daniel Robancho Ostrowski, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3737 Portland Rd Ne, Salem, OR 97301 Phone: 503-390-2600 | |
Kristin R Harper, B.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3737 Portland Rd Ne, Salem, OR 97301 Phone: 503-485-8977 | |
Beverly A Muse, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1315 Madras St Se, Salem, OR 97306 Phone: 650-599-5044 | |
Kaylin Wilson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3737 Portland Rd Ne, Salem, OR 97301 Phone: 503-390-2600 | |
Miss Christin Marie Farrell, MFT, LPC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 475 Taylor St Ne, Bldg 1, Salem, OR 97301 Phone: 503-689-1006 |