| Jose Rodriguez, LPC | |
|
998 Library Ct, Oregon City, OR 97045-4041 | |
| (503) 655-8401 | |
| (503) 655-8429 |
| Full Name | Jose Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 28 Years |
| Location | 998 Library Ct, Oregon City, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962568741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C1530 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1824 |
| Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1824 |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Rodriguez, LPC 998 Library Ct, Oregon City, OR 97045-4041 Ph: (503) 655-8401 | Jose Rodriguez, LPC 998 Library Ct, Oregon City, OR 97045-4041 Ph: (503) 655-8401 |
Mr. Thomas Michael Clute, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1002 Library Ct, Oregon City, OR 97045 Phone: 503-655-8264 Fax: 503-655-8428 | |
Ellise D Parr, Counselor Medicare: May Accept Medicare Assignments Practice Location: 15544 Clackamas River Dr, Oregon City, OR 97045 Phone: 503-974-5820 | |
Patrick Eaton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1010 5th St, Oregon City, OR 97045 Phone: 503-594-4750 | |
Mrs. Sara Elizabeth Loos, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2051 Kaen Rd Ste 367, Oregon City, OR 97045 Phone: 503-742-5335 | |
Paul C Deroche, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 998 Library Ct, Oregon City, OR 97045 Phone: 503-655-8401 Fax: 503-655-8429 | |
Kelly Blixhavn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2051 Kaen Rd, Suite 367, Oregon City, OR 97045 Phone: 503-742-5335 Fax: 503-742-5304 | |
Ms. Patricia Marie Jordan, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 21004 S Highway 213, Oregon City, OR 97045 Phone: 503-245-4175 |