| Andrea Cody Russell, LCSW | |
|
7455 Sw Beveland Rd, Tigard, OR 97223-8610 | |
| (503) 624-2600 | |
| Not Available |
| Full Name | Andrea Cody Russell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 7455 Sw Beveland Rd, Tigard, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427142538 | NPI | - | NPPES |
| 164936 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L1143 (Oregon) | Primary |
| Entity Name | Western Psychological And Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912008178 PECOS PAC ID: 7719975085 Enrollment ID: O20040505000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Cody Russell, LCSW 16210 Parker Rd, Lake Oswego, OR 97035-4038 Ph: (503) 675-2981 | Andrea Cody Russell, LCSW 7455 Sw Beveland Rd, Tigard, OR 97223-8610 Ph: (503) 624-2600 |
Mr. Robert Lee Marrs, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12600 Sw 72nd Ave, Suite 110, Tigard, OR 97223 Phone: 503-620-5455 | |
Mr. William K Hunt, QMHP, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3906 | |
Teresa L Stroup, BA, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9600 Sw Oak St, Tigard, OR 97223 Phone: 971-364-8069 Fax: 971-209-7261 | |
Ms. Emily Elliott, M.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10313 Sw 69th Ave, Tigard, OR 97223 Phone: 503-726-3740 | |
Mrs. Melody Sue George, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11895 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-597-3894 Fax: 503-597-3895 | |
Jessica Lynn Fox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11315 Sw 105th Pl, Tigard, OR 97223 Phone: 503-502-2393 | |
Lesley Muenzen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7100 Sw Hampton St Ste 223, Tigard, OR 97223 Phone: 503-342-2510 |