| Julia Humphreville, | |
|
1825 Ne Glisan St, Portland, OR 97232-2844 | |
| (503) 230-9654 | |
| Not Available |
| Full Name | Julia Humphreville |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1825 Ne Glisan St, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700352754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18-P-20 (Oregon) | Primary |
| 101YM0800X | Counselor - Mental Health | L164664 (Oregon) | Secondary |
| Entity Name | Cascadia Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336196401 PECOS PAC ID: 7618873761 Enrollment ID: O20031209000991 |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Humphreville, 4940 Se Caruthers St, Portland, OR 97215-3833 Ph: (860) 908-9280 | Julia Humphreville, 1825 Ne Glisan St, Portland, OR 97232-2844 Ph: (503) 230-9654 |
Deanna Gold, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 Ne 19th Ave, Suite 100, Portland, OR 97232 Phone: 503-891-9937 |
Loren Dale Horton, B.A, M.DIV. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Sw Washington St, Portland, OR 97205 Phone: 503-535-1150 |
Michael Peter Kender, MA, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 9111 Ne Sunderland Ave, Portland, OR 97211 Phone: 503-280-6646 Fax: 503-280-6051 |
Karissa Lynn Catalano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2415 Se 43rd Ave, Portland, OR 97206 Phone: 503-238-0705 |
James Paul Bryant, LCSW, CADC 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-964-0000 |
Michael Ann Benchoff, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Sw Oak Street, Suite 520, Portland, OR 97204 Phone: 503-988-4949 |
Lynn A Fontana, L.M.F.T, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8035 Ne Prescott St, Portland, OR 97218 Phone: 503-223-7719 Fax: 503-255-4714 |