| Mr Reginald Vanness Gilmore Ii, | |
|
2507 Christie Dr, Lake Oswego, OR 97034 | |
| (503) 635-3416 | |
| Not Available |
| Full Name | Mr Reginald Vanness Gilmore Ii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2507 Christie Dr, Lake Oswego, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679129217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Reginald Vanness Gilmore Ii, Po Box 368, Marylhurst, OR 97036-0368 Ph: () - | Mr Reginald Vanness Gilmore Ii, 2507 Christie Dr, Lake Oswego, OR 97034 Ph: (503) 635-3416 |
Isabel Deaver, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Foothills Rd, Lake Oswego, OR 97034 Phone: 503-972-0436 | |
Jaquelyn Victoria Reyes Alonzo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2507 Christie Dr, Lake Oswego, OR 97034 Phone: 503-635-3416 | |
Mrs. Heather Mae Lokteff, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4800 Sw Meadows Rd,, Suite 300, Lake Oswego, OR 97035 Phone: 503-806-2012 | |
John Milner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2507 Christie Drive, Lake Oswego, OR 97034 Phone: 503-635-3416 | |
Yuzhuo Pan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5005 Meadows Rd Ste 405, Lake Oswego, OR 97035 Phone: 971-232-1120 Fax: 855-750-2962 | |
Jessica Vacek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1626 Sw Englewood Drive, Lake Oswego, OR 97034 Phone: 503-757-7435 | |
Ms. Rachel Diane White, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2507 Christie Drive, Lake Oswego, OR 97034 Phone: 503-675-2247 |