Ms Lu Lu, | |
12460 Sw Anton Dr, Tigard, OR 97223-3390 | |
(541) 908-2718 | |
Not Available |
Full Name | Ms Lu Lu |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 12460 Sw Anton Dr, Tigard, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861016586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | The Northwest Catholic Counseling Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619091279 PECOS PAC ID: 0840289013 Enrollment ID: O20040511001663 |
Mailing Address | Practice Location Address |
---|---|
Ms Lu Lu, 2204 Pacific Ave N, Long Beach, WA 98631-3300 Ph: (360) 642-3787 | Ms Lu Lu, 12460 Sw Anton Dr, Tigard, OR 97223-3390 Ph: (541) 908-2718 |
Matthew Harhai, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3740 | |
Brianna Uilani Kaalakea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3690 | |
Miss Sheila Miranda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3690 | |
John Patrick Cate, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3690 | |
Julia Adams-opperman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3690 | |
Arya Roerig, CADC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 12540 Sw Main St Ste 202, Tigard, OR 97223 Phone: 503-906-9995 | |
Corbin Gronvold, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3740 |