| Pacific Synergies Nw Llc | |
|
418 Beavercreek Rd Ste 102 Oregon City OR 97045-4287 | |
| (971) 203-0683 | |
| (503) 212-0174 |
| Full Name | Pacific Synergies Nw Llc |
|---|---|
| Speciality | Counselor |
| Location | 418 Beavercreek Rd Ste 102, Oregon City, Oregon |
| Authorized Official Name and Position | Andrea Redeau (CLINIC DIRECTOR) |
| Authorized Official Contact | 5039985613 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Synergies Nw Llc 418 Beavercreek Rd Ste 102 Oregon City OR 97045-4287 Ph: (971) 203-0683 | Pacific Synergies Nw Llc 418 Beavercreek Rd Ste 102 Oregon City OR 97045-4287 Ph: (971) 203-0683 |
| NPI Number | 1902644560 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 03/11/2026 |
| Certification Date | 03/11/2026 |
| Medicare PECOS PAC ID | 6406380195 |
|---|---|
| Medicare Enrollment ID | O20241118002696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902644560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Catherine Ross Caruso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841605664 PECOS PAC ID: 3375807027 Enrollment ID: I20180503001962 |
| Provider Name | Meghan M. Rich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942976345 PECOS PAC ID: 7719417658 Enrollment ID: I20250207001724 |
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