| Owen Wallulatum, CRM | |
|
340 Nw 5th St, Box 1710, Redmond, OR 97756-1869 | |
| (541) 516-4087 | |
| (541) 504-1195 |
| Full Name | Owen Wallulatum |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 340 Nw 5th St, Redmond, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265966055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17 CRM 065 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Owen Wallulatum, CRM 850 Sw 4th St, Madras, OR 97741-9628 Ph: (541) 475-4822 | Owen Wallulatum, CRM 340 Nw 5th St, Box 1710, Redmond, OR 97756-1869 Ph: (541) 516-4087 |
Marissa Inman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 406 W Antler Ave, Redmond, OR 97756 Phone: 541-322-7500 | |
Emily Culbertson, CADC II, QMHA II Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Nw 5th St, Box 1710, Redmond, OR 97756 Phone: 540-516-4087 Fax: 541-504-1195 | |
Krysta Ivens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6396 Sw Mcvey Ave, Redmond, OR 97756 Phone: 971-217-6150 | |
Lacey Satterfield, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 1470 Nw 4th St, Redmond, OR 97756 Phone: 541-316-7520 | |
James O'farrell, M.S., QMHP, LPC Counselor Medicare: Medicare Enrolled Practice Location: 406 W Antler Ave, Redmond, OR 97756 Phone: 541-322-7187 Fax: 541-322-7467 | |
Roger Boling, MSW Counselor Medicare: Medicare Enrolled Practice Location: 7515 Falcon Crest Dr # 200, Redmond, OR 97756 Phone: 541-904-5216 | |
Miss Melissa Scaramuzzo, LPC, MHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1622 W Antler Ave Unit 4, Redmond, OR 97756 Phone: 541-321-0713 |