| Mr Richard John Friday, LCSW | |
| 1620 E 12th St, The Dalles, OR 97058-3213 | |
| (541) 296-9151 | |
| (541) 296-9156 | 
| Full Name | Mr Richard John Friday | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 1620 E 12th St, The Dalles, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093215287 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L7482 (Oregon) | Primary | 
| Entity Name | Deschutes County Oregon | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235172180 PECOS PAC ID: 9638083371 Enrollment ID: O20031117000568 | 
| Entity Name | Columbia Gorge Medical Center Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558346064 PECOS PAC ID: 8628066115 Enrollment ID: O20040504000398 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Richard John Friday, LCSW 1620 E 12th St, The Dalles, OR 97058-3213 Ph: (541) 296-9151 | Mr Richard John Friday, LCSW 1620 E 12th St, The Dalles, OR 97058-3213 Ph: (541) 296-9151 | 
| Ms. Avie Rice Stacy, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1514 E 14th St, The Dalles, OR 97058 Phone: 541-965-1875 | |
| Ronald W Wing, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 419 E 7th St Ste 207, The Dalles, OR 97058 Phone: 541-296-5452 Fax: 541-296-4792 | |
| Mrs. Lacey A Nichols, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1210 Dry Hollow Rd Ste 4 1/2, The Dalles, OR 97058 Phone: 541-240-8938 | |
| Tiffany Kenslow, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 Washington St, The Dalles, OR 97058 Phone: 541-386-2337 | |
| Colin S Wood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 419 E 7th St Ste 207, The Dalles, OR 97058 Phone: 541-296-5452 Fax: 541-296-4792 | |
| Frederick Williams, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1060 Webber St, The Dalles, OR 97058 Phone: 541-296-5452 Fax: 541-296-1537 |