Alissa Dayton, LMFT | |
12636 Se Stark St Bldg J, Portland, OR 97233-1058 | |
(503) 253-4600 | |
Not Available |
Full Name | Alissa Dayton |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 12636 Se Stark St Bldg J, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801264734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LF61580812 (Washington) | Secondary |
106H00000X | Marriage & Family Therapist | T1916 (Oregon) | Primary |
Entity Name | Western Psychological And Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629345731 PECOS PAC ID: 7719975085 Enrollment ID: O20110224000559 |
Mailing Address | Practice Location Address |
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Alissa Dayton, LMFT Po Box 82819, Portland, OR 97282-0819 Ph: (503) 233-5405 | Alissa Dayton, LMFT 12636 Se Stark St Bldg J, Portland, OR 97233-1058 Ph: (503) 253-4600 |
Karissa Lynn Catalano, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2415 Se 43rd Ave, Portland, OR 97206 Phone: 503-238-0705 | |
Jennifer D Samsom, MA Couples Therapy Medicare: Medicare Enrolled Practice Location: 2245 Sw Troy St, Portland, OR 97219 Phone: 503-341-6393 | |
Therese Long, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4300 Ne Fremont St Ste 260, Portland, OR 97213 Phone: 503-544-9996 | |
Kathia Rabelo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 820 Nw 21st Ave Ste B, Portland, OR 97209 Phone: 626-318-9783 | |
Joshua Solomon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6011 Ne Oregon St, Portland, OR 97213 Phone: 503-385-6470 | |
Jedidiah Smith, Couples Therapy Medicare: Medicare Enrolled Practice Location: 7393 Se 118th Dr, Portland, OR 97266 Phone: 971-381-2769 | |
Polly Elizabeth Harrison, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13601 Se Lincoln Ct, Portland, OR 97233 Phone: 503-558-5339 |