| Jonathon Furlong, | |
|
200 Lilly Rd Ne Ste C, Olympia, WA 98506-5080 | |
| (360) 918-8336 | |
| Not Available |
| Full Name | Jonathon Furlong |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 200 Lilly Rd Ne Ste C, Olympia, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356637870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Intermountain Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609245273 PECOS PAC ID: 7113253659 Enrollment ID: O20190722003187 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathon Furlong, 20370 Poe Sholes Dr, Bend, OR 97701-7938 Ph: (541) 318-1377 | Jonathon Furlong, 200 Lilly Rd Ne Ste C, Olympia, WA 98506-5080 Ph: (360) 918-8336 |
Layla M. Bushee, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 825 Legion Way Se Ste 3a, Olympia, WA 98501 Phone: 206-636-1246 | |
Shelby Ann Wise, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 10th Ave Se, Olympia, WA 98501 Phone: 360-819-0546 | |
Pamela Kay Bodine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3857 Martin Way E, Olympia, WA 98506 Phone: 360-704-7170 | |
Mary Achol Bol, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3436 Mary Elder Rd Ne # Rs, Olympia, WA 98506 Phone: 360-528-2590 | |
Sheryl Stone-carle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502 Phone: 360-878-8248 | |
Daniele Brittney Maurer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3857 Martin Way E, Olympia, WA 98506 Phone: 360-704-7170 | |
Andrew Daniel-jude Thompson, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3773 Martin Way E, Olympia, WA 98506 Phone: 360-688-7312 Fax: 360-688-7318 |