| Heather Thorn, | |
| 3825 International Ct, Springfield, OR 97477-1086 | |
| (541) 858-8170 | |
| (541) 858-8167 | 
| Full Name | Heather Thorn | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 3825 International Ct, Springfield, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346806213 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PROFESSIONALLICENSE (* (Not Available)) | Primary | 
| Entity Name | Lane County Oregon | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326138314 PECOS PAC ID: 7416853833 Enrollment ID: O20040309000023 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Heather Thorn, 3587 Heathrow Way, Medford, OR 97504-4004 Ph: (541) 858-8170 | Heather Thorn, 3825 International Ct, Springfield, OR 97477-1086 Ph: (541) 858-8170 | 
| Nanci Rose Smith,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 W B St, Building I, Springfield, OR 97477 Phone: 541-988-1025 | |
| Dawn Edwards,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 3995 Marcola Rd, Springfield, OR 97477 Phone: 541-726-1465 | |
| Denise R. Gaudette,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Main St, Springfield, OR 97477 Phone: 541-393-6452 | |
| Kayla Ayne Pollard,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1950 2nd St Apt J101, Springfield, OR 97477 Phone: 541-514-1996 | |
| Martha Landers, MHR Counselor Medicare: Not Enrolled in Medicare Practice Location: 1403 F St, Springfield, OR 97477 Phone: 541-780-6213 | |
| Callay Quinn Boire-shedd,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 3995 Marcola Rd, Springfield, OR 97477 Phone: 541-726-1465 Fax: 541-726-5085 | |
| Leslie Ann Prieto,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 3995 Marcola Rd, Springfield, OR 97477 Phone: 541-726-1465 Fax: 541-726-5085 |