| Jennifer Lynn Pitt, LMFT | |
|
890 82nd Dr, Gladstone, OR 97027-1803 | |
| (503) 233-5405 | |
| Not Available |
| Full Name | Jennifer Lynn Pitt |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 890 82nd Dr, Gladstone, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013257542 | NPI | - | NPPES |
| 164936 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | T0508 (Oregon) | Primary |
| Entity Name | Brightspire Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518656776 PECOS PAC ID: 2163866419 Enrollment ID: O20240215000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynn Pitt, LMFT 890 82nd Dr, Gladstone, OR 97027-1803 Ph: (503) 233-5405 | Jennifer Lynn Pitt, LMFT 890 82nd Dr, Gladstone, OR 97027-1803 Ph: (503) 233-5405 |
Ryan Michael Wilcox, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 880 82nd Dr, Gladstone, OR 97027 Phone: 503-659-5515 | |
Jason Scott Blei, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 15 82nd Dr Ste 20, Gladstone, OR 97027 Phone: 503-652-2810 | |
Traci Goodrich, REGISTERED ASSOCIATE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Lifestance Health, 880 82nd Drive, Gladstone, OR 97027 Phone: 503-659-5515 | |
Jennifer Michelle Roholt, Couples Therapy Medicare: Medicare Enrolled Practice Location: 18911 Portland Ave, Gladstone, OR 97027 Phone: 503-556-8471 Fax: 503-722-6810 |