| Robyn L Herrick, | |
| 
					906 Main Ave, Tillamook, OR 97141-3816  | |
| (503) 842-8201 | |
| (503) 815-1870 | 
| Full Name | Robyn L Herrick | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 906 Main Ave, Tillamook, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871622480 | NPI | - | NPPES | 
| 197749 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C2355 (Oregon) | Secondary | 
| 101YM0800X | Counselor - Mental Health | C2355 (Oregon) | Primary | 
| Entity Name | Options Counseling Services Of Oregon | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548275217 PECOS PAC ID: 1658674197 Enrollment ID: O20160215000168  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Robyn L Herrick, 2645 Portland Rd Ne, Salem, OR 97301-0198 Ph: () -  | Robyn L Herrick, 906 Main Ave, Tillamook, OR 97141-3816 Ph: (503) 842-8201  | 
Kathy J Sias,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870  | |
Dustin Renee Young, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870  | |
Jodee Ridderbusch, CADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870  | |
Gary D Frunz, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870  | |
Sandra Lee Hurliman,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870  | |
Janette L Boal, RN QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870  | |
Ms. Kimberlee Anne Garner, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870  |