| Trystan Rose, | |
|
5100 Sw Macadam Ave, # 400, Portland, OR 97239-6102 | |
| (503) 244-5211 | |
| Not Available |
| Full Name | Trystan Rose |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 5 Years |
| Location | 5100 Sw Macadam Ave, Portland, Oregon |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558801019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Sondermind PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710647581 PECOS PAC ID: 3577099621 Enrollment ID: O20241218003610 |
| Mailing Address | Practice Location Address |
|---|---|
| Trystan Rose, 5100 Sw Macadam Ave, # 400, Portland, OR 97239-6102 Ph: (503) 244-5211 | Trystan Rose, 5100 Sw Macadam Ave, # 400, Portland, OR 97239-6102 Ph: (503) 244-5211 |
Deanna Gold, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 Ne 19th Ave, Suite 100, Portland, OR 97232 Phone: 503-891-9937 |
Loren Dale Horton, B.A, M.DIV. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Sw Washington St, Portland, OR 97205 Phone: 503-535-1150 |
Michael Peter Kender, MA, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 9111 Ne Sunderland Ave, Portland, OR 97211 Phone: 503-280-6646 Fax: 503-280-6051 |
James Paul Bryant, LCSW, CADC 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-964-0000 |
Michael Ann Benchoff, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Sw Oak Street, Suite 520, Portland, OR 97204 Phone: 503-988-4949 |
Lynn A Fontana, L.M.F.T, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8035 Ne Prescott St, Portland, OR 97218 Phone: 503-223-7719 Fax: 503-255-4714 |
Donna M Turquoise, QMHP-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Sw 17th Ave, Portland, OR 97201 Phone: 503-231-2641 Fax: 503-467-4077 |