| Mike C Theodore, QMHA | |
|
17933 Nw Evergreen Pkwy Ste 111, Beaverton, OR 97006-7452 | |
| (814) 243-0414 | |
| (814) 479-5906 |
| Full Name | Mike C Theodore |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 17933 Nw Evergreen Pkwy Ste 111, Beaverton, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316644735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 35007 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mike C Theodore, QMHA 3159 Carpenters Park Rd, Davidsville, PA 15928-9223 Ph: (814) 243-0414 | Mike C Theodore, QMHA 17933 Nw Evergreen Pkwy Ste 111, Beaverton, OR 97006-7452 Ph: (814) 243-0414 |
Alexandra Jeanel Cabading Pardico, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 12655 Sw Center St Ste 100, Beaverton, OR 97005 Phone: 503-673-8641 | |
Alyssa Morse-miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008 Phone: 503-352-3260 Fax: 503-352-3262 | |
Beth R James, LPC,CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 Nw Bethany Blvd Ste 320, Beaverton, OR 97006 Phone: 503-567-3264 | |
Mrs. Charlotte Marie Rector, BSED, CADCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 9700 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005 Phone: 503-626-9494 | |
Taryn Weslie Van Vliet, Counselor Medicare: Not Enrolled in Medicare Practice Location: Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 Phone: 503-217-2189 Fax: 503-217-2257 | |
Kelly Mcgreal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005 Phone: 503-258-4495 | |
Tyha Lee Murphy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6700 Sw 105th Ave Ste 200, Beaverton, OR 97008 Phone: 503-998-9129 |