| Delene R Rodenberg, | |
|
20110 Vashon Highway Sw, Vashon, WA 98070 | |
| (206) 227-8832 | |
| Not Available |
| Full Name | Delene R Rodenberg |
|---|---|
| Gender | |
| Speciality | Counselor - School |
| Location | 20110 Vashon Highway Sw, Vashon, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396008959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Washington) | Secondary |
| 101YS0200X | Counselor - School | LF61453299 (Washington) | Primary |
| Entity Name | Neighborcare Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578593562 PECOS PAC ID: 0143134205 Enrollment ID: O20040128000573 |
| Mailing Address | Practice Location Address |
|---|---|
| Delene R Rodenberg, 1200 12th Ave S Ste 901, Seattle, WA 98144-2712 Ph: (206) 548-3114 | Delene R Rodenberg, 20110 Vashon Highway Sw, Vashon, WA 98070 Ph: (206) 227-8832 |
Lisa Sigrid Coley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20110 Vashon Highway Sw, Vashon, WA 98070 Phone: 206-234-3649 | |
Thomas Edward Walsten, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20110 Vashon Hwy Sw, Vashon, WA 98070 Phone: 206-463-5511 Fax: 206-463-5513 | |
Humberto Emilio Gonzalez-mendoza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25507 75th Ave Sw, Vashon, WA 98070 Phone: 425-351-2533 | |
Mary Lanae Ayers, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 10402 Sw 268th St, Vashon, WA 98070 Phone: 206-300-9639 Fax: 206-463-7754 | |
Lizabeth A Brenneman, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 11707 Sw 232nd St, Vashon, WA 98070 Phone: 206-909-9635 | |
Carson Mcmurray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20110 Vashon Hwy Sw, Vashon, WA 98070 Phone: 206-463-5511 | |
Leigh Anne Mckeen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20110 Vashon Hwy Sw, Vashon, WA 98070 Phone: 206-463-5511 |