Ebonie Nicole Henderson, | |
7100 Sw Hampton St Ste 223, Tigard, OR 97223-8364 | |
(503) 342-2510 | |
Not Available |
Full Name | Ebonie Nicole Henderson |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 17 Years |
Location | 7100 Sw Hampton St Ste 223, Tigard, 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 |
---|---|---|---|
1730367616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C006788 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Doctor On Demand Professionals P C | 9436464567 | 119 |
Entity Name | Doctor On Demand Professionals P C |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20200512002405 |
Mailing Address | Practice Location Address |
---|---|
Ebonie Nicole Henderson, 7100 Sw Hampton St Ste 223, Tigard, OR 97223-8364 Ph: (503) 342-2510 | Ebonie Nicole Henderson, 7100 Sw Hampton St Ste 223, Tigard, OR 97223-8364 Ph: (503) 342-2510 |
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 | |
Kathleen Elizabeth Preuss, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14075 Sw Chinn Ln Apt 337, Tigard, OR 97224 Phone: 503-997-9345 | |
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: Medicare Enrolled 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 |