| Jenifer Cooper, QMHP | |
|
1181 Sw Ramsey Ave, Grants Pass, OR 97527-5835 | |
| (541) 476-2373 | |
| Not Available |
| Full Name | Jenifer Cooper |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1181 Sw Ramsey Ave, Grants Pass, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548909104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L15983 (Oregon) | Primary |
| Entity Name | Options For Southern Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558366492 PECOS PAC ID: 0941202006 Enrollment ID: O20070217000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenifer Cooper, QMHP 1215 Sw G St, Grants Pass, OR 97526-2544 Ph: (541) 476-2373 | Jenifer Cooper, QMHP 1181 Sw Ramsey Ave, Grants Pass, OR 97527-5835 Ph: (541) 476-2373 |
Mr. Scott E. Willi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1181 Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-2373 Fax: 541-476-1526 | |
Stephen Raleigh I, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1181 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-2373 | |
Suellen Mitzner Willi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2576 New Hope Rd, Grants Pass, OR 97527 Phone: 541-479-1544 | |
Mr. Robert Lewis Morse, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1181 Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-2373 Fax: 541-476-1526 | |
Jason Matthew Brown, B.A. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-956-5463 | |
Elizabeth Anne Mabry, CSWI Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-471-3455 | |
Pamela Mccorkle, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 217 Ne C St, Grants Pass, OR 97526 Phone: 541-630-0079 |