| Shelby Massingale, LCSW | |
| 7150 Sw Dartmouth St, Tigard, OR 97223-7614 | |
| (503) 968-3421 | |
| (503) 477-4775 | 
| Full Name | Shelby Massingale | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 7150 Sw Dartmouth St, Tigard, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174099881 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L13961 (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 | 
|---|---|
| Shelby Massingale, LCSW 7150 Sw Dartmouth St, Tigard, OR 97223-7614 Ph: (503) 968-3421 | Shelby Massingale, LCSW 7150 Sw Dartmouth St, Tigard, OR 97223-7614 Ph: (503) 968-3421 | 
| Mr. Robert Lee Marrs, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12600 Sw 72nd Ave, Suite 110, Tigard, OR 97223 Phone: 503-620-5455 | |
| Mr. William K Hunt, QMHP, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3906 | |
| Ms. Emily Elliott, M.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10313 Sw 69th Ave, Tigard, OR 97223 Phone: 503-726-3740 | |
| Mrs. Melody Sue George, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11895 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-597-3894 Fax: 503-597-3895 | |
| Jessica Lynn Fox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11315 Sw 105th Pl, Tigard, OR 97223 Phone: 503-502-2393 | |
| Lesley Muenzen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7100 Sw Hampton St Ste 223, Tigard, OR 97223 Phone: 503-342-2510 | |
| Sally K Gradin,  Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7340 Sw Hunziker St, Suite 102, Tigard, OR 97223 Phone: 971-425-0821 |