Maria Lynn Williquette, MA | |
1235 Se Division St Ste 104, Portland, OR 97202-1055 | |
(206) 327-8592 | |
Not Available |
Full Name | Maria Lynn Williquette |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1235 Se Division St Ste 104, 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 |
---|---|---|---|
1790095883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | T1368 (Oregon) | Primary |
Entity Name | Moving Forward Staying Present Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649896630 PECOS PAC ID: 8325571193 Enrollment ID: O20241031003374 |
Mailing Address | Practice Location Address |
---|---|
Maria Lynn Williquette, MA 7821 Se 29th Ave, Portland, OR 97202-8832 Ph: (425) 349-8300 | Maria Lynn Williquette, MA 1235 Se Division St Ste 104, Portland, OR 97202-1055 Ph: (206) 327-8592 |
Karissa Lynn Catalano, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2415 Se 43rd Ave, Portland, OR 97206 Phone: 503-238-0705 | |
Jennifer D Samsom, MA Couples Therapy Medicare: Medicare Enrolled Practice Location: 2245 Sw Troy St, Portland, OR 97219 Phone: 503-341-6393 | |
Therese Long, Couples Therapy Medicare: Medicare Enrolled Practice Location: 4300 Ne Fremont St Ste 260, Portland, OR 97213 Phone: 503-544-9996 | |
Kathia Rabelo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 820 Nw 21st Ave Ste B, Portland, OR 97209 Phone: 626-318-9783 | |
Jennifer Servin-zuniga, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4445 S Barbur Blvd Ste 205, Portland, OR 97239 Phone: 503-768-6325 | |
Polly Elizabeth Harrison, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13601 Se Lincoln Ct, Portland, OR 97233 Phone: 503-558-5339 | |
Mrs. Lindsey Erin Gibson, MED Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1110 Se Alder St Ste 301, Portland, OR 97214 Phone: 971-400-5407 |