| Susan Metcalfe Lcsw Llc | |
|
10700 Sw Beaverton Hillsdale Hwy Ste 460 Beaverton OR 97005-4736 | |
| (503) 476-6070 | |
| Not Available |
| Full Name | Susan Metcalfe Lcsw Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10700 Sw Beaverton Hillsdale Hwy Ste 460, Beaverton, Oregon |
| Authorized Official Name and Position | Susan Metcalfe (OWNER) |
| Authorized Official Contact | 5034766070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Metcalfe Lcsw Llc 10700 Sw Beaverton Hillsdale Hwy Ste 460 Beaverton OR 97005-4736 Ph: () - | Susan Metcalfe Lcsw Llc 10700 Sw Beaverton Hillsdale Hwy Ste 460 Beaverton OR 97005-4736 Ph: (503) 476-6070 |
| NPI Number | 1639775497 |
|---|---|
| Provider Enumeration Date | 12/08/2020 |
| Last Update Date | 12/08/2020 |
| Certification Date | 12/08/2020 |
| Medicare PECOS PAC ID | 1456765403 |
|---|---|
| Medicare Enrollment ID | O20210202002577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639775497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Susan Jane Metcalfe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922573344 PECOS PAC ID: 7517371560 Enrollment ID: I20210202002727 |
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