| Berenice Mendoza Cabello, | |
|
11211 Se 82nd Ave Ste 0, Happy Valley, OR 97086-7641 | |
| (503) 722-6200 | |
| Not Available |
| Full Name | Berenice Mendoza Cabello |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 11211 Se 82nd Ave Ste 0, Happy Valley, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437555091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L8173 (Oregon) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brightside Medical Of Michigan Pc | 9830562776 | 90 |
| Entity Name | County Of Clackamas Office Of County Auditor |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841443587 PECOS PAC ID: 9537065560 Enrollment ID: O20031210000827 |
| Entity Name | Brightside Medical Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230417000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Berenice Mendoza Cabello, Po Box 8459, Portland, OR 97207-8459 Ph: (503) 238-0769 | Berenice Mendoza Cabello, 11211 Se 82nd Ave Ste 0, Happy Valley, OR 97086-7641 Ph: (503) 722-6200 |
Nicole Jordan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15970 Se Misty Dr # 100, Happy Valley, OR 97086 Phone: 503-659-1694 Fax: 503-659-8984 | |
Darcy Brook Kennedy, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11211 Se 82nd Ave, Suite O, Happy Valley, OR 97086 Phone: 503-722-6200 Fax: 503-722-6545 | |
Amy E White, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11211 Se 82nd Ave, Ste O, Happy Valley, OR 97086 Phone: 503-722-6200 Fax: 503-722-6545 | |
Galli Murray, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11211 Se 82nd Ave, Suite O, Happy Valley, OR 97086 Phone: 503-722-6200 Fax: 503-722-6545 | |
Katie Roeda, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13203 Se 172nd Ave Ste 1662072, Happy Valley, OR 97086 Phone: 503-440-1548 Fax: 503-967-7605 | |
Brandon Leonard, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11211 Se 82nd Ave, Suite O, Happy Valley, OR 97086 Phone: 503-557-5831 |