| Gary Arfstrom, MA, QMHP | |
|
1375 Ne Lakewood Dr Apt 436, Newport, OR 97365-1940 | |
| (541) 270-8896 | |
| Not Available |
| Full Name | Gary Arfstrom |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1375 Ne Lakewood Dr Apt 436, Newport, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588995773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | C4189 (Oregon) | Primary |
| Entity Name | Brightside Medical Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230417000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Arfstrom, MA, QMHP 1375 Ne Lakewood Dr Apt 436, Newport, OR 97365-1940 Ph: (541) 270-8896 | Gary Arfstrom, MA, QMHP 1375 Ne Lakewood Dr Apt 436, Newport, OR 97365-1940 Ph: (541) 270-8896 |
Mr. Jeffrey Price, RECOVERY MENTOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Sw Lee St, Newport, OR 97365 Phone: 541-574-5960 Fax: 541-574-6252 | |
Jordyn Emily Hubbard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Sw Lee St, Newport, OR 97365 Phone: 541-574-5960 | |
Jase Eli Pecanha, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Sw Lee St, Newport, OR 97365 Phone: 541-574-5960 Fax: 541-265-0606 | |
Sofia Louise Goheen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Sw Lee St, Newport, OR 97365 Phone: 541-574-5960 | |
Kathryn Mcdonald Shumate, LPC, LSATP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1365 Ne Lakewood Dr Apt 322, Newport, OR 97365 Phone: 503-758-2093 | |
Gina D Golden-willeford, CASE MANAGER 2, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Sw Lee St, Newport, OR 97365 Phone: 541-574-5960 Fax: 541-265-0601 | |
Kristopher Davis, CRM Counselor Medicare: Not Enrolled in Medicare Practice Location: 547 Sw 7th St, Newport, OR 97365 Phone: 541-574-9570 Fax: 541-574-8857 |