| Laila Josephine Ayyoub, LCSW | |
| 3085 Nw Deer Run St, Corvallis, OR 97330-3104 | |
| (541) 760-0777 | |
| Not Available | 
| Full Name | Laila Josephine Ayyoub | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 3085 Nw Deer Run St, Corvallis, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083818124 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L4558 (Oregon) | Primary | 
| Entity Name | Kaiser Foundation Health Plan Of The Northwest | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Laila Josephine Ayyoub, LCSW 3085 Nw Deer Run St, Corvallis, OR 97330-3104 Ph: (541) 760-0777 | Laila Josephine Ayyoub, LCSW 3085 Nw Deer Run St, Corvallis, OR 97330-3104 Ph: (541) 760-0777 | 
| Fahlene Lockwood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2075 Nw Grant Ave, Corvallis, OR 97330 Phone: 541-368-3152 Fax: 855-279-0612 | |
| Alison Roffman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3512 Se Bayou Pl, Corvallis, OR 97333 Phone: 541-908-1320 | |
| Patty J Koker, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 530 Nw 27th St, Corvallis, OR 97330 Phone: 541-766-6835 | |
| Kiana Rust,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 861 Sw Madison Ave, Corvallis, OR 97333 Phone: 541-974-8873 | |
| Tanya Lee Katz, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4185 Sw Research Way Ste 110, Corvallis, OR 97333 Phone: 541-257-5500 | |
| Mr. Alan Andrew Schrader, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-766-2195 |