| Ms Dori L Lyon, LPC | |
|
12360 E Burnside St, Portland, OR 97233-1042 | |
| (971) 279-4800 | |
| (971) 279-2051 |
| Full Name | Ms Dori L Lyon |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 24 Years |
| Location | 12360 E Burnside St, Portland, Oregon |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578871521 | NPI | - | NPPES |
| 500700978 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C2377 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clatsop Behavioral Healthcare | 1355336454 | 10 |
| Entity Name | Clatsop Behavioral Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013925155 PECOS PAC ID: 1355336454 Enrollment ID: O20040419000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Dori L Lyon, LPC 1776 Sw Madison St, Portland, OR 97205-1715 Ph: (503) 224-1044 | Ms Dori L Lyon, LPC 12360 E Burnside St, Portland, OR 97233-1042 Ph: (971) 279-4800 |
Deanna Gold, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 Ne 19th Ave, Suite 100, Portland, OR 97232 Phone: 503-891-9937 | |
Loren Dale Horton, B.A, M.DIV. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Sw Washington St, Portland, OR 97205 Phone: 503-535-1150 | |
Michael Peter Kender, MA, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 9111 Ne Sunderland Ave, Portland, OR 97211 Phone: 503-280-6646 Fax: 503-280-6051 | |
Laura Ann Allen, MS, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Nw Davis St, Portland, OR 97209 Phone: 503-226-2203 Fax: 503-223-4231 | |
James Paul Bryant, LCSW, CADC 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-964-0000 | |
Michael Ann Benchoff, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Sw Oak Street, Suite 520, Portland, OR 97204 Phone: 503-988-4949 | |
Lynn A Fontana, L.M.F.T, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8035 Ne Prescott St, Portland, OR 97218 Phone: 503-223-7719 Fax: 503-255-4714 |