David Lee Eubanks, QMHA is a
Case Manager/care Coordinator based in Portland, Oregon. David Lee Eubanks is licensed to practice in NU (license number ) and his current practice location is
412 Sw 12th Ave, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 552-5113.
NPI number for David Lee Eubanks is 1780738377 and his current mailing address is 11014 Ne Wygant St, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780738377.
Healthcare Provider's Profile
| Full Name | David Lee Eubanks |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 412 Sw 12th Ave, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780738377
- Provider Enumeration Date: 01/22/2007
- Last Update Date: 10/09/2007
Medical Identifiers
Medical identifiers for David Lee Eubanks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780738377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (NU) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Lee Eubanks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
David Lee Eubanks, QMHA 11014 Ne Wygant St, Portland, OR 97220-2563 Ph: (503) 552-5113 | David Lee Eubanks, QMHA 412 Sw 12th Ave, Portland, OR 97205-2329 Ph: (503) 552-5113 |
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