Mark Anthony Halloran Jr, PSS CRM QMHAR CADCR is a
Case Manager/care Coordinator based in Portland, Oregon. Mark Anthony Halloran Jr is licensed to practice in Oregon (license number 24-QMHA-R6242) and his current practice location is
5415 Sw Westgate Dr, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(971) 727-8026.
NPI number for Mark Anthony Halloran Jr is 1710693544 and his current mailing address is 5415 Sw Westgate Dr, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710693544.
Healthcare Provider's Profile
| Full Name | Mark Anthony Halloran Jr |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 5415 Sw Westgate Dr, Portland, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710693544
- Provider Enumeration Date: 01/25/2023
- Last Update Date: 02/10/2025
Medical Identifiers
Medical identifiers for Mark Anthony Halloran Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710693544 | NPI | - | NPPES |
| 000106008 | Other | OR | TRADITIONAL HEALTH WORKER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T-24-4760 (Oregon) | Secondary |
| 175T00000X | Peer Specialist | 000106008 (Oregon) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 24-QMHA-R6242 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Anthony Halloran Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Anthony Halloran Jr, PSS CRM QMHAR CADCR
5415 Sw Westgate Dr,
Portland, OR 97221-2409
Ph: (971) 727-8026 | Mark Anthony Halloran Jr, PSS CRM QMHAR CADCR
5415 Sw Westgate Dr,
Portland, OR 97221-2409
Ph: (971) 727-8026 |
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