| Nathan Heydari, | |
|
1110 Se Alder St, Portland, OR 97214-2400 | |
| (503) 932-2582 | |
| Not Available |
| Full Name | Nathan Heydari |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 1110 Se Alder St, Portland, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790252872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | R5582 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Roseburg Therapy Llc | 6608109475 | 16 |
| Entity Name | Roseburg Therapy LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538665013 PECOS PAC ID: 6608109475 Enrollment ID: O20190610002722 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Heydari, 466 E Green St, Westminster, MD 21157-5624 Ph: (240) 818-4461 | Nathan Heydari, 1110 Se Alder St, Portland, OR 97214-2400 Ph: (503) 932-2582 |
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 |
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 |
Donna M Turquoise, QMHP-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Sw 17th Ave, Portland, OR 97201 Phone: 503-231-2641 Fax: 503-467-4077 |