| Jedidiah Smith, | |
|
7393 Se 118th Dr, Portland, OR 97266-4929 | |
| (971) 381-2769 | |
| Not Available |
| Full Name | Jedidiah Smith |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 7393 Se 118th Dr, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013471465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | T2571 (Oregon) | Primary |
| Entity Name | Counseling Corner Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477293918 PECOS PAC ID: 1759809619 Enrollment ID: O20250515000839 |
| Mailing Address | Practice Location Address |
|---|---|
| Jedidiah Smith, 7393 Se 118th Dr, Portland, OR 97266-4929 Ph: (971) 381-2769 | Jedidiah Smith, 7393 Se 118th Dr, Portland, OR 97266-4929 Ph: (971) 381-2769 |
Karissa Lynn Catalano, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2415 Se 43rd Ave, Portland, OR 97206 Phone: 503-238-0705 | |
Jennifer D Samsom, MA Couples Therapy Medicare: Medicare Enrolled Practice Location: 2245 Sw Troy St, Portland, OR 97219 Phone: 503-341-6393 | |
Therese Long, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4300 Ne Fremont St Ste 260, Portland, OR 97213 Phone: 503-544-9996 | |
Kathia Rabelo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 820 Nw 21st Ave Ste B, Portland, OR 97209 Phone: 626-318-9783 | |
Joshua Solomon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6011 Ne Oregon St, Portland, OR 97213 Phone: 503-385-6470 | |
Polly Elizabeth Harrison, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13601 Se Lincoln Ct, Portland, OR 97233 Phone: 503-558-5339 |