| Mayfield And Associates | |
|
1050 Sw 6th Ave Ste 1100 Portland OR 97204-1153 | |
| (503) 308-8287 | |
| (972) 637-4065 |
| Full Name | Mayfield And Associates |
|---|---|
| Speciality | Counselor |
| Location | 1050 Sw 6th Ave Ste 1100, Portland, Oregon |
| Authorized Official Name and Position | Shantee Mayfield (CLINICAL EXECUTIVE OFFICER) |
| Authorized Official Contact | 2144750445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayfield And Associates 2249 Red Oak Dr Little Elm TX 75068-5665 Ph: (214) 475-0445 | Mayfield And Associates 1050 Sw 6th Ave Ste 1100 Portland OR 97204-1153 Ph: (503) 308-8287 |
| NPI Number | 1184208654 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Medicare PECOS PAC ID | 6709226533 |
|---|---|
| Medicare Enrollment ID | O20240628000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184208654 | NPI | - | NPPES |
| Provider Name | Shantee L Mayfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104383405 PECOS PAC ID: 8426498254 Enrollment ID: I20240702000424 |
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