| Kevin Shank, | |
|
33 Nw Broadway, Portland, OR 97209-3580 | |
| (503) 944-4410 | |
| Not Available |
| Full Name | Kevin Shank |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 33 Nw Broadway, 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 |
|---|---|---|---|
| 1760867659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 23-11-30089 (Oregon) | Primary |
| 1041C0700X | Social Worker - Clinical | L17410 (Oregon) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Shank, 10759 Sw Heron Cir, Beaverton, OR 97007-8353 Ph: Not Available | Kevin Shank, 33 Nw Broadway, Portland, OR 97209-3580 Ph: (503) 944-4410 |
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 |