| Riley Crowder, | |
|
58646 Mcnulty Way, Saint Helens, OR 97051-6210 | |
| (503) 397-5211 | |
| (503) 397-5373 |
| Full Name | Riley Crowder |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 58646 Mcnulty Way, Saint Helens, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174752224 | NPI | - | NPPES |
| Entity Name | Optum Behavioral Care of Colorado PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316717747 PECOS PAC ID: 0941648463 Enrollment ID: O20240827003465 |
| Mailing Address | Practice Location Address |
|---|---|
| Riley Crowder, Po Box 1234, Saint Helens, OR 97051-8234 Ph: (503) 397-5211 | Riley Crowder, 58646 Mcnulty Way, Saint Helens, OR 97051-6210 Ph: (503) 397-5211 |
Ms. Kathleen M Nicholson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211 Fax: 503-397-5373 |
Sandra Anne Petersen-tetz, CADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 N 4th St, Saint Helens, OR 97051 Phone: 503-366-4540 Fax: 503-366-4526 |
Ruth Deleon, M.A, Counselor Medicare: Not Enrolled in Medicare Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211 |
Mr. Ken Davis, BSW, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211 Fax: 503-397-5373 |
Megan J Parks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211 |
Heather Lorene Swanson, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211 |
Natalie Ewing, MH COUNSELING Counselor Medicare: Not Enrolled in Medicare Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-438-2168 |