Ms Coriann Ranea Matthews, MSW, LCSW | |
713 S Riverside Ave, Medford, OR 97501-7837 | |
(541) 203-0056 | |
(541) 227-2356 |
Full Name | Ms Coriann Ranea Matthews |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 713 S Riverside Ave, Medford, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497181994 | NPI | - | NPPES |
500700878 | Other | OR | DMAP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | L10456 (Oregon) | Primary |
1041C0700X | Social Worker - Clinical | L10456 (Oregon) | Secondary |
Entity Name | Rogue Holistic Therapy |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881285658 PECOS PAC ID: 1456768035 Enrollment ID: O20210326000625 |
Mailing Address | Practice Location Address |
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Ms Coriann Ranea Matthews, MSW, LCSW Po Box 631, Medford, OR 97501-0043 Ph: (541) 203-0056 | Ms Coriann Ranea Matthews, MSW, LCSW 713 S Riverside Ave, Medford, OR 97501-7837 Ph: (541) 203-0056 |
Karen Burns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W 6th St, Medford, OR 97501 Phone: 541-200-2900 Fax: 541-200-2948 | |
Mark Jeffrey Davis, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1191 Hazel St, Medford, OR 97501 Phone: 541-476-2373 | |
Jane Napoleon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 N Grape St, Medford, OR 97501 Phone: 541-779-8564 Fax: 541-779-9409 | |
Shoshanna Noelle Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W Main St, Medford, OR 97501 Phone: 541-772-1777 | |
Michael David Holt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 E Main St, Medford, OR 97504 Phone: 541-772-0127 | |
Leslie Michelle Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 Airport Rd Ste 101, Medford, OR 97504 Phone: 541-200-2900 Fax: 541-200-2948 | |
Noah Drake, LPC Counselor Medicare: Medicare Enrolled Practice Location: 730 Biddle Rd, Medford, OR 97504 Phone: 541-494-3800 |