| Miss Amy R Madrigal-bates, | |
|
17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 | |
| (541) 278-6330 | |
| (541) 278-5419 |
| Full Name | Miss Amy R Madrigal-bates |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 4 Years |
| Location | 17 Sw Frazer Ave Ste 282, Pendleton, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811449200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R7699 (Oregon) | Primary |
| 171M00000X | Case Manager/care Coordinator | (Oregon) | Secondary |
| Entity Name | Lifes Intention LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124729314 PECOS PAC ID: 3375076292 Enrollment ID: O20241031000814 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Amy R Madrigal-bates, 702 Sunset Dr, Ontario, OR 97914 Ph: (541) 889-9167 | Miss Amy R Madrigal-bates, 17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 Ph: (541) 278-6330 |
Carol Harshman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 Fax: 541-276-4628 |
Kristen Thompson-graber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 |
Mariah Shaunika Ray Wright, CRM Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 Sw Dorion Ave, Pendleton, OR 97801 Phone: 541-429-8800 Fax: 541-429-8822 |
Payton Jean Miller, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-278-6330 |
James Perry Gourlie, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 Fax: 541-276-4628 |
Kacie E Phipps, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Sw 20th St, Pendleton, OR 97801 Phone: 541-429-8161 |
Courtney Bingham, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-240-8030 |