Ketki Patankar, | |
1049 Sw Baseline St, Hillsboro, OR 97123-3835 | |
(503) 473-1154 | |
Not Available |
Full Name | Ketki Patankar |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1049 Sw Baseline St, Hillsboro, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467958777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
Mailing Address | Practice Location Address |
---|---|
Ketki Patankar, 1049 Sw Baseline St, Hillsboro, OR 97123-3835 Ph: () - | Ketki Patankar, 1049 Sw Baseline St, Hillsboro, OR 97123-3835 Ph: (503) 473-1154 |
Sabrina Jen Walters, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 21210 Nw Mauzey Rd, Hillsboro, OR 97124 Phone: 503-439-9531 Fax: 503-531-3841 | |
Francesca Guglielmi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 Se 8th Ave Ste 212, Hillsboro, OR 97123 Phone: 503-352-7333 | |
Merribeth Weber Vaughn, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 971 Sw Walnut St, Hillsboro, OR 97123 Phone: 503-640-5297 Fax: 503-640-5780 | |
Bryan Laurence Kelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 971 Sw Walnut St, Hillsboro, OR 97123 Phone: 503-640-5297 Fax: 503-640-5780 | |
Stephanie Twellman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8280 Ne Mauzey Ct, Hillsboro, OR 97124 Phone: 503-439-9531 | |
Kayla Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 Se 8th Ave Ste 212, Hillsboro, OR 97123 Phone: 503-352-2400 | |
Miss Taylor Marie Proper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 Se 8th Ave, Suite 212, Hillsboro, OR 97123 Phone: 503-352-7333 |