| Willie Harris, | |
|
5441 S Macadam Ave Ste R, Portland, OR 97239-3822 | |
| (504) 326-5175 | |
| Not Available |
| Full Name | Willie Harris |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 5441 S Macadam Ave Ste R, Portland, Oregon |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649638164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 161647385 (Louisiana) | Secondary |
| 101YP2500X | Counselor - Professional | C9283 (Oregon) | Primary |
| Entity Name | Flod Mental Health Treatment LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407744832 PECOS PAC ID: 5092200527 Enrollment ID: O20251222001480 |
| Mailing Address | Practice Location Address |
|---|---|
| Willie Harris, 5441 S Macadam Ave Ste R, Portland, OR 97239-3822 Ph: (504) 326-5175 | Willie Harris, 5441 S Macadam Ave Ste R, Portland, OR 97239-3822 Ph: (504) 326-5175 |
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 |