| Angela Mae Duncan, MED, LPC | |
|
5285 Meadows Rd Ste 170, Lake Oswego, OR 97035-3478 | |
| (503) 726-5216 | |
| Not Available |
| Full Name | Angela Mae Duncan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 5285 Meadows Rd Ste 170, Lake Oswego, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720327000 | NPI | - | NPPES |
| 200481270A | Medicaid | OK | |
| 200481170B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 05991 (Oklahoma) | Secondary |
| 101YM0800X | Counselor - Mental Health | C8568 (Oregon) | Primary |
| Entity Name | Sapphire Blue Behavioral Health Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558839068 PECOS PAC ID: 7911358775 Enrollment ID: O20240105003842 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Mae Duncan, MED, LPC 35077 Goss Ln, Poteau, OK 74953-7789 Ph: (918) 649-7426 | Angela Mae Duncan, MED, LPC 5285 Meadows Rd Ste 170, Lake Oswego, OR 97035-3478 Ph: (503) 726-5216 |
Isabel Deaver, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Foothills Rd, Lake Oswego, OR 97034 Phone: 503-972-0436 | |
Jaquelyn Victoria Reyes Alonzo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2507 Christie Dr, Lake Oswego, OR 97034 Phone: 503-635-3416 | |
Mrs. Heather Mae Lokteff, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4800 Sw Meadows Rd,, Suite 300, Lake Oswego, OR 97035 Phone: 503-806-2012 | |
John Milner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2507 Christie Drive, Lake Oswego, OR 97034 Phone: 503-635-3416 | |
Yuzhuo Pan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5005 Meadows Rd Ste 405, Lake Oswego, OR 97035 Phone: 971-232-1120 Fax: 855-750-2962 | |
Jessica Vacek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1626 Sw Englewood Drive, Lake Oswego, OR 97034 Phone: 503-757-7435 | |
Ms. Rachel Diane White, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2507 Christie Drive, Lake Oswego, OR 97034 Phone: 503-675-2247 |