Dr Kathryn Elyse Woicicki, PSYD is a
Psychologist based in Portland, Oregon. Dr Kathryn Elyse Woicicki is licensed to practice in Oregon (license number 3784) and her current practice location is
3700 N Williams Ave, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 281-4852.
NPI number for Dr Kathryn Elyse Woicicki is 1679809065 and her current mailing address is 3700 N Williams Ave, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679809065.
Healthcare Provider's Profile
| Full Name | Dr Kathryn Elyse Woicicki |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 3700 N Williams Ave, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679809065
- Provider Enumeration Date: 10/20/2009
- Last Update Date: 09/25/2024
Medical Identifiers
Medical identifiers for Dr Kathryn Elyse Woicicki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679809065 | NPI | - | NPPES |
| TBD | Other | OR | OHP |
| C653953 | Other | OR | OREGON DMV |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 30399 (California) | Secondary |
| 103T00000X | Psychologist | 3784 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathryn Elyse Woicicki is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kathryn Elyse Woicicki, PSYD
3700 N Williams Ave,
Portland, OR 97227-1441
Ph: (503) 281-4852 | Dr Kathryn Elyse Woicicki, PSYD
3700 N Williams Ave,
Portland, OR 97227-1441
Ph: (503) 281-4852 |
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