| Colette Renee Deleon, LCSW | |
|
1217 Ne Burnside Rd, Building B Suite 401, Gresham, OR 97030-6722 | |
| (503) 666-8832 | |
| (503) 669-8641 |
| Full Name | Colette Renee Deleon |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1217 Ne Burnside Rd, Gresham, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164566113 | NPI | - | NPPES |
| 164936 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L3792 (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 |
|---|---|
| Colette Renee Deleon, LCSW Po Box 82819, Portland, OR 97282-0819 Ph: (503) 233-5405 | Colette Renee Deleon, LCSW 1217 Ne Burnside Rd, Building B Suite 401, Gresham, OR 97030-6722 Ph: (503) 666-8832 |
Stephanie Kurzenhauser, MSW, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1201 Se 223rd Ave Ste 165, Gresham, OR 97030 Phone: 971-999-2693 | |
Matthew Joseph Bartolotti, LSCW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Ne 7th St, Gresham, OR 97030 Phone: 503-489-2236 | |
Ryely Wilpone, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St, Gresham, OR 97030 Phone: 503-988-5155 Fax: 503-988-5185 | |
Casey Leigh Roberts, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 300, Gresham, OR 97030 Phone: 503-258-4600 | |
Jamie Nash-sedda, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2970 Ne 7th St, Gresham, OR 97030 Phone: 509-863-4560 | |
James Macleod, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4101 Ne Division St, Gresham, OR 97030 Phone: 971-284-1963 | |
Alyssa Wirthlin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Ne 7th St, Gresham, OR 97030 Phone: 503-661-5455 |