| Tracey Jones, | |
|
1915 Ne Stucki Ave Fl 4, Hillsboro, OR 97006-6951 | |
| (814) 243-0414 | |
| Not Available |
| Full Name | Tracey Jones |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1915 Ne Stucki Ave Fl 4, Hillsboro, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154026615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Lifeline Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265160451 PECOS PAC ID: 3678948577 Enrollment ID: O20230427002507 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Jones, 3159 Carpenters Park Rd, Davidsville, PA 15928-9223 Ph: (814) 243-0414 | Tracey Jones, 1915 Ne Stucki Ave Fl 4, Hillsboro, OR 97006-6951 Ph: (814) 243-0414 |
Sabrina Jen Walters, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 21210 Nw Mauzey Rd, Hillsboro, OR 97124 Phone: 503-439-9531 Fax: 503-531-3841 | |
Francesca Guglielmi, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 Se 8th Ave Ste 212, Hillsboro, OR 97123 Phone: 503-352-7333 | |
Merribeth Weber Vaughn, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 971 Sw Walnut St, Hillsboro, OR 97123 Phone: 503-640-5297 Fax: 503-640-5780 | |
Bryan Laurence Kelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 971 Sw Walnut St, Hillsboro, OR 97123 Phone: 503-640-5297 Fax: 503-640-5780 | |
Stephanie Twellman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8280 Ne Mauzey Ct, Hillsboro, OR 97124 Phone: 503-439-9531 | |
Kayla Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 Se 8th Ave Ste 212, Hillsboro, OR 97123 Phone: 503-352-2400 | |
James Brewster Whalen, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9620 Ne Tanasbourne Dr Ste 300, Hillsboro, OR 97124 Phone: 541-818-0009 |