| Mr Tristan Daimon Adrian, MSW | |
|
182 Sw Academy St, Dallas, OR 97338 | |
| (503) 623-9289 | |
| Not Available |
| Full Name | Mr Tristan Daimon Adrian |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 182 Sw Academy St, Dallas, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427567387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L8600 (Oregon) | Primary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tristan Daimon Adrian, MSW 182 Sw Academy St, Dallas, OR 97338-1996 Ph: (503) 623-9289 | Mr Tristan Daimon Adrian, MSW 182 Sw Academy St, Dallas, OR 97338 Ph: (503) 623-9289 |
Brandi G King-jackson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 | |
Llama Taylor, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2200 E Ellendale Ave, Dallas, OR 97338 Phone: 503-623-5588 Fax: 503-623-4729 | |
Mr. Ronald Richard Ryden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 | |
Linda Leann Shannon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18620 Falls City Rd, Dallas, OR 97338 Phone: 503-373-4908 Fax: 503-391-7422 | |
Gabriella Cordy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St Ste 304, Dallas, OR 97338 Phone: 503-302-9921 | |
Leah Mangis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St Ste 333, Dallas, OR 97338 Phone: 503-409-4499 |