| Ryan Michael Wilcox, LMFT | |
|
880 82nd Dr, Gladstone, OR 97027-1803 | |
| (503) 659-5515 | |
| Not Available |
| Full Name | Ryan Michael Wilcox |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 880 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 |
|---|---|---|---|
| 1073710414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | T0710 (Oregon) | Primary |
| Entity Name | Western Psychological And Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912008178 PECOS PAC ID: 7719975085 Enrollment ID: O20040505000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Michael Wilcox, LMFT 880 82nd Dr, Gladstone, OR 97027-1803 Ph: (971) 380-3886 | Ryan Michael Wilcox, LMFT 880 82nd Dr, Gladstone, OR 97027-1803 Ph: (503) 659-5515 |
Jennifer Lynn Pitt, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 890 82nd Dr, Gladstone, OR 97027 Phone: 503-233-5405 | |
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 |