| Timothy Paul Landry, LCSW | |
|
1450 Birch Ave, Cottage Grove, OR 97424-1417 | |
| (503) 347-0003 | |
| Not Available |
| Full Name | Timothy Paul Landry |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 1450 Birch Ave, Cottage Grove, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700340270 | NPI | - | NPPES |
| 101YM0800X | Other | OR | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | L6526 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth Cottage Grove Community Medical Center | Cottage grove, OR | Hospital |
| Entity Name | Peacehealth Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
| Entity Name | Peacehealth Medical Group Cottage Grove |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Paul Landry, LCSW Po Box 291, Cottage Grove, OR 97424-0010 Ph: (503) 347-0003 | Timothy Paul Landry, LCSW 1450 Birch Ave, Cottage Grove, OR 97424-1417 Ph: (503) 347-0003 |
Therese N Mastin, M.A., QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1345 Birch Ave, Cottage Grove, OR 97424 Phone: 541-942-3939 Fax: 541-942-9310 | |
Sonja Towner, LPC Counselor Medicare: Medicare Enrolled Practice Location: 847 Pierce Ave, Cottage Grove, OR 97424 Phone: 541-731-9374 Fax: 360-844-5184 | |
Tessa Hart, MED, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1345 Birch Ave, Cottage Grove, OR 97424 Phone: 541-942-3939 | |
Susan Grzesiak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1345 Birch Ave, Cottage Grove, OR 97424 Phone: 541-942-3939 Fax: 541-942-9310 | |
Robert H Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1345 Birch Ave, Cottage Grove, OR 97424 Phone: 541-942-3939 Fax: 541-942-9310 | |
Mrs. Sarah Marie Baker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1245 Birch Ave, Cottage Grove, OR 97424 Phone: 541-942-3939 | |
Christina Sue Flint, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1245 Birch Ave, Cottage Grove, OR 97424 Phone: 541-942-3939 |