Summer Dancing-sky Surley, is a
Case Manager/care Coordinator based in Portland, Oregon. Summer Dancing-sky Surley is licensed to practice in * (Not Available) (license number ) and her current practice location is
2330 Ne Siskiyou St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 528-0757.
NPI number for Summer Dancing-sky Surley is 1265138929 and her current mailing address is Po Box 8459, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265138929.
Healthcare Provider's Profile
| Full Name | Summer Dancing-sky Surley |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 2330 Ne Siskiyou St, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265138929
- Provider Enumeration Date: 02/03/2023
- Last Update Date: 02/12/2026
Medical Identifiers
Medical identifiers for Summer Dancing-sky Surley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265138929 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | CG70020826 (Washington) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Summer Dancing-sky Surley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Summer Dancing-sky Surley, Po Box 8459, Portland, OR 97207-8459 Ph: () - | Summer Dancing-sky Surley, 2330 Ne Siskiyou St, Portland, OR 97212-2471 Ph: (503) 528-0757 |
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