| Hailey Coleman, | |
|
4585 Sw 185th Ave, Aloha, OR 97078-1557 | |
| (503) 591-9280 | |
| (503) 848-2072 |
| Full Name | Hailey Coleman |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4585 Sw 185th Ave, Aloha, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649888462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Roots Therapy Nw Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831789098 PECOS PAC ID: 5395140222 Enrollment ID: O20210816002448 |
| Mailing Address | Practice Location Address |
|---|---|
| Hailey Coleman, 4585 Sw 185th Ave, Aloha, OR 97078-1557 Ph: (503) 591-9280 | Hailey Coleman, 4585 Sw 185th Ave, Aloha, OR 97078-1557 Ph: (503) 591-9280 |
Kayla Olson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97078 Phone: 503-619-1935 | |
Lesley Dominic, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97078 Phone: 503-591-9280 | |
Sarah Schwitkis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97078 Phone: 503-591-9280 Fax: 503-848-2072 | |
Barbara Anne Boyd, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97078 Phone: 503-619-1949 | |
Zinaida Krivoruk, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97078 Phone: 503-591-9280 | |
Eve Skosey-lalonde, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97078 Phone: 503-591-9280 Fax: 503-848-2072 | |
Nubia Rodriguez Esquivel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97078 Phone: 503-619-1937 |