| Active Recovery Tms Pllc | |
|
4949 Meadows Rd Ste 250 Lake Oswego OR 97035-3147 | |
| (503) 308-3007 | |
| Not Available |
| Full Name | Active Recovery Tms Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 4949 Meadows Rd Ste 250, Lake Oswego, Oregon |
| Authorized Official Name and Position | Y Pritham K Raj (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5033083007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Recovery Tms Pllc 4949 Meadows Rd Ste 250 Lake Oswego OR 97035-3147 Ph: (503) 836-5014 | Active Recovery Tms Pllc 4949 Meadows Rd Ste 250 Lake Oswego OR 97035-3147 Ph: (503) 308-3007 |
| NPI Number | 1881287787 |
|---|---|
| Provider Enumeration Date | 02/11/2021 |
| Last Update Date | 02/11/2021 |
| Certification Date | 02/11/2021 |
| Medicare PECOS PAC ID | 9032528047 |
|---|---|
| Medicare Enrollment ID | O20210504001021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881287787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Y Pritham Raj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972690923 PECOS PAC ID: 8325047814 Enrollment ID: I20061211000419 |
| Provider Name | Laura Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083036990 PECOS PAC ID: 1153683297 Enrollment ID: I20180329001112 |
| Provider Name | Jenna Lander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366989832 PECOS PAC ID: 6608112560 Enrollment ID: I20190114002162 |
| Provider Name | Ryan Dozler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134793615 PECOS PAC ID: 0143696773 Enrollment ID: I20221021001470 |
| Provider Name | Larissa Birndorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073939211 PECOS PAC ID: 7719290451 Enrollment ID: I20230206001148 |
| Provider Name | Zachary Ray Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508430216 PECOS PAC ID: 8325443708 Enrollment ID: I20231026001032 |
Mitch Elovitz, Lpc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15100 Boones Ferry Rd, Lake Oswego, OR 97035 Phone: 503-804-3063 Fax: 503-635-9127 | |
Kokua Counseling Pdx, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16780 Bryant Rd, Suite 8, Lake Oswego, OR 97035 Phone: 503-869-2933 | |
Cynthia Steinhauser, Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11830 Sw Kerr Pkwy, Suite 370, Lake Oswego, OR 97035 Phone: 503-293-8300 Fax: 503-293-8388 | |
Leading Light Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14511 Westlake Dr Ste 121, Lake Oswego, OR 97035 Phone: 503-957-1032 | |
Integrative Mind Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Centerpointe Dr Ste 400, Lake Oswego, OR 97035 Phone: 503-606-6355 Fax: 581-333-1291 | |
Oregon Recovery Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5775 Jean Rd Ste 104, Lake Oswego, OR 97035 Phone: 503-304-4358 Fax: 503-304-4361 | |
Ally Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5655 Southwood Dr, Lake Oswego, OR 97035 Phone: 503-208-4327 |