| Deanne C Haisch, MA | |
|
10202 Se 32nd Ave, Ste. 504, Milwaukie, OR 97222-3610 | |
| (503) 645-3581 | |
| Not Available |
| Full Name | Deanne C Haisch |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 10202 Se 32nd Ave, Milwaukie, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184778417 | NPI | - | NPPES |
| 47037660631 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2972 (Nebraska) | Primary |
| Entity Name | Sokyahealth Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447842232 PECOS PAC ID: 9739575648 Enrollment ID: O20220401000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Deanne C Haisch, MA 14600 Nw Cornell Rd, Portland, OR 97229-5442 Ph: (503) 645-3581 | Deanne C Haisch, MA 10202 Se 32nd Ave, Ste. 504, Milwaukie, OR 97222-3610 Ph: (503) 645-3581 |
Ms. Lindsay Young, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267 Phone: 503-594-1772 Fax: 503-594-1773 | |
Erik Scholze, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11576 Se 27th Ave, Milwaukie, OR 97222 Phone: 503-305-6943 | |
Konde Salumu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11576 Se 27th Ave, Milwaukie, OR 97222 Phone: 503-305-6943 | |
Asa J Statler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13850 Se Autumn Ridge Ter, Milwaukie, OR 97267 Phone: 503-974-9250 Fax: 503-974-9586 | |
John Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267 Phone: 503-303-4000 | |
Tammy Talbert, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4105 Se International Way, Milwaukie, OR 97222 Phone: 503-740-8787 | |
Jeremy Zuercher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11576 Se 27th Ave, Milwaukie, OR 97222 Phone: 503-305-6943 |