| Mr Dylan Dow, LCSW | |
|
10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | |
| (503) 571-4141 | |
| Not Available |
| Full Name | Mr Dylan Dow |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 10180 Se Sunnyside Rd, Clackamas, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699288407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7145 (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: O20040220000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dylan Dow, LCSW 4003 Se Grant St, Portland, OR 97214-5934 Ph: () - | Mr Dylan Dow, LCSW 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (503) 571-4141 |
Emily Marie Ketola, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015 Phone: 503-794-3830 Fax: 503-794-3850 | |
Mrs. Rachel Lela Cochenour, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-4122 | |
Roxanne Marie Jackson, MSW, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10151 Se Sunnyside Rd Ste 480, Clackamas, OR 97015 Phone: 503-739-8321 | |
Ms. Shirley Nord, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-4757 Fax: 503-571-8342 | |
Mrs. Riley Anne Carroll, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Ms. Starla Sue Mccullar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Social Work, Clackamas, OR 97015 Phone: 503-571-4750 | |
Sylvia Sanaia Sparrow, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9775 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-655-8471 |