| Andrea Dawn Davenport, LPC | |
|
1705 Centennial Blvd Ste 2, Springfield, OR 97477 | |
| (541) 818-0009 | |
| (541) 780-6967 |
| Full Name | Andrea Dawn Davenport |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1705 Centennial Blvd Ste 2, Springfield, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174116693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C4565 (Oregon) | Primary |
| Entity Name | Oregon Directions, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225707763 PECOS PAC ID: 5395271316 Enrollment ID: O20241213000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Dawn Davenport, LPC 1705 Centennial Blvd Ste 2, Springfield, OR 97477 Ph: (503) 542-2300 | Andrea Dawn Davenport, LPC 1705 Centennial Blvd Ste 2, Springfield, OR 97477 Ph: (541) 818-0009 |
Nanci Rose Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 W B St, Building I, Springfield, OR 97477 Phone: 541-988-1025 | |
Dawn Edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3995 Marcola Rd, Springfield, OR 97477 Phone: 541-726-1465 | |
Denise R. Gaudette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Main St, Springfield, OR 97477 Phone: 541-393-6452 | |
Kayla Ayne Pollard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1950 2nd St Apt J101, Springfield, OR 97477 Phone: 541-514-1996 | |
Martha Landers, MHR Counselor Medicare: Not Enrolled in Medicare Practice Location: 1403 F St, Springfield, OR 97477 Phone: 541-780-6213 | |
Callay Quinn Boire-shedd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3995 Marcola Rd, Springfield, OR 97477 Phone: 541-726-1465 Fax: 541-726-5085 | |
Leslie Ann Prieto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3995 Marcola Rd, Springfield, OR 97477 Phone: 541-726-1465 Fax: 541-726-5085 |