| Ancora Wellness | |
|
239 Ne Lincoln St Hillsboro OR 97124-3066 | |
| (971) 238-4408 | |
| Not Available |
| Full Name | Ancora Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 239 Ne Lincoln St, Hillsboro, Oregon |
| Authorized Official Name and Position | Kara Kazemba (OWNER) |
| Authorized Official Contact | 9712384408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ancora Wellness 239 Ne Lincoln St Hillsboro OR 97124-3066 Ph: (971) 238-4408 | Ancora Wellness 239 Ne Lincoln St Hillsboro OR 97124-3066 Ph: (971) 238-4408 |
| NPI Number | 1073271573 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Medicare PECOS PAC ID | 4486174372 |
|---|---|
| Medicare Enrollment ID | O20250221002551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073271573 | NPI | - | NPPES |
| Provider Name | Kara Rae Kazemba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003162397 PECOS PAC ID: 0941506844 Enrollment ID: I20160302001358 |
| Provider Name | Mary Kristine Lopes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063997195 PECOS PAC ID: 0840711834 Enrollment ID: I20250306001594 |
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