| Loretta Reina Mueffelman, LPC | |
|
11740 Sw 68th Pkwy Ste 200, Tigard, OR 97223-9058 | |
| (503) 825-0302 | |
| Not Available |
| Full Name | Loretta Reina Mueffelman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 11740 Sw 68th Pkwy Ste 200, Tigard, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295487445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-18680 (Arizona) | Secondary |
| 101YM0800X | Counselor - Mental Health | C9800 (Oregon) | Primary |
| Entity Name | Mindful Therapy Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20210301001586 |
| Mailing Address | Practice Location Address |
|---|---|
| Loretta Reina Mueffelman, LPC 5441 S Macadam Ave # 4633, Portland, OR 97239-6106 Ph: (480) 321-6245 | Loretta Reina Mueffelman, LPC 11740 Sw 68th Pkwy Ste 200, Tigard, OR 97223-9058 Ph: (503) 825-0302 |
Matthew Harhai, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3740 | |
Brianna Uilani Kaalakea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3690 | |
Miss Sheila Miranda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3690 | |
John Patrick Cate, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3690 | |
Julia Adams-opperman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3690 | |
Arya Roerig, CADC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 12540 Sw Main St Ste 202, Tigard, OR 97223 Phone: 503-906-9995 | |
Corbin Gronvold, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3740 |