Maia Lucy Penchansky, PCA, RD, LD - in Portland, OR

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Maia Lucy Penchansky, PCA, RD, LD is a Counselor - Mental Health based in Portland, Oregon. Maia Lucy Penchansky is licensed to practice in Oregon (license number R8799) and her current practice location is 1110 Se Alder St Ste 300, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 404-3637.

NPI number for Maia Lucy Penchansky is 1548743354 and her current mailing address is 1110 Se Alder St Ste 300, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548743354.

Contact Information

Maia Lucy Penchansky, PCA, RD, LD
1110 Se Alder St Ste 300,
Portland, OR 97214-2400
(503) 404-3637
Not Available

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Healthcare Provider's Profile

Full NameMaia Lucy Penchansky
GenderFemale
SpecialityCounselor - Mental Health
Location1110 Se Alder St Ste 300, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548743354
  • Provider Enumeration Date: 09/08/2018
  • Last Update Date: 09/09/2025

Medical Identifiers

Medical identifiers for Maia Lucy Penchansky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548743354NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered LD-D-10193411 (Oregon)Secondary
101YM0800XCounselor - Mental Health R8799 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maia Lucy Penchansky is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maia Lucy Penchansky, PCA, RD, LD
1110 Se Alder St Ste 300,
Portland, OR 97214-2400

Ph: (503) 404-3637		Maia Lucy Penchansky, PCA, RD, LD
1110 Se Alder St Ste 300,
Portland, OR 97214-2400

Ph: (503) 404-3637

Reviews and Comments



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