Russell Patrick Droll, | |
58646 Mcnulty Way, Saint Helens, OR 97051-6210 | |
(503) 397-5211 | |
(503) 397-5373 |
Full Name | Russell Patrick Droll |
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Gender | Male |
Speciality | Counselor - Mental Health |
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 |
---|---|---|---|
1679052591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Oregon) | Primary |
Entity Name | Brightways Counseling Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689191165 PECOS PAC ID: 4688907827 Enrollment ID: O20190603003122 |
Mailing Address | Practice Location Address |
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Russell Patrick Droll, Po Box 1234, Saint Helens, OR 97051-8234 Ph: (503) 397-5211 | Russell Patrick Droll, 58646 Mcnulty Way, Saint Helens, OR 97051-6210 Ph: (503) 397-5211 |
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 | |
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 | |
Ben Louis Weaver, LPC, NCC, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211 Fax: 503-438-2194 | |
Sierra Marie Dibble, Counselor Medicare: Not Enrolled in Medicare Practice Location: 58147 Columbia River Hwy Ste C, Saint Helens, OR 97051 Phone: 503-396-5322 | |
Tabatha L Bird Weaver, LPC,MA, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211 Fax: 503-397-5373 |