| Mid-columbia Center For Living | |
|
1060 Webber St The Dalles OR 97058-3749 | |
| (541) 296-5452 | |
| (541) 296-9418 |
| Full Name | Mid-columbia Center For Living |
|---|---|
| Speciality | Clinic/Center |
| Location | 1060 Webber St, The Dalles, Oregon |
| Authorized Official Name and Position | Alexander Barton (DEPUTY DIRECTOR) |
| Authorized Official Contact | 5412965452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-columbia Center For Living 1060 Webber St The Dalles OR 97058-3749 Ph: (541) 296-5452 | Mid-columbia Center For Living 1060 Webber St The Dalles OR 97058-3749 Ph: (541) 296-5452 |
| NPI Number | 1699745794 |
|---|---|
| Provider Enumeration Date | 01/23/2006 |
| Last Update Date | 12/19/2022 |
| Medicare PECOS PAC ID | 4385540186 |
|---|---|
| Medicare Enrollment ID | O20031211000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699745794 | NPI | - | NPPES |
| 139431 | Medicaid | OR | |
| 139670 | Medicaid | OR |
| Provider Name | Daniel E Ferber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073671368 PECOS PAC ID: 5496701815 Enrollment ID: I20050329000217 |
| Provider Name | Mary P Cason |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871651166 PECOS PAC ID: 2860400264 Enrollment ID: I20060327000677 |
| Provider Name | Glen R Patrizio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962484592 PECOS PAC ID: 2860580198 Enrollment ID: I20071120000112 |
| Provider Name | Laurence Colman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225106032 PECOS PAC ID: 4183760663 Enrollment ID: I20091014000427 |
| Provider Name | Kimberly A Humann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417919325 PECOS PAC ID: 3072529262 Enrollment ID: I20100126000139 |
| Provider Name | Kolby Walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144541376 PECOS PAC ID: 2264679711 Enrollment ID: I20140808002315 |
| Provider Name | Maria A Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871893651 PECOS PAC ID: 5597087882 Enrollment ID: I20141121001570 |
| Provider Name | Frederick G Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346558244 PECOS PAC ID: 4981921210 Enrollment ID: I20150326000758 |
| Provider Name | Aalamgeer Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386838795 PECOS PAC ID: 1153578893 Enrollment ID: I20190325000262 |
| Provider Name | Rachel C Morenz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275977472 PECOS PAC ID: 3971744491 Enrollment ID: I20200203001367 |
| Provider Name | Breana Nicole Hesse |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1386207447 PECOS PAC ID: 6608206149 Enrollment ID: I20200423001493 |
| Provider Name | Kristen Colleen Mccaffrey Fourcade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265720924 PECOS PAC ID: 9032530951 Enrollment ID: I20200612000585 |
| Provider Name | John Oliver Blosser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659947265 PECOS PAC ID: 2769832351 Enrollment ID: I20231222000148 |
| Provider Name | Karrie Marie Rambo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841862927 PECOS PAC ID: 8426408634 Enrollment ID: I20240102000094 |
| Provider Name | Edwin Romel Soriano De Leon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871735464 PECOS PAC ID: 7618192303 Enrollment ID: I20240102000889 |
| Provider Name | Elizabeth Barteld |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750653150 PECOS PAC ID: 4082064183 Enrollment ID: I20240102003742 |
| Provider Name | Kalyn Sherwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740842616 PECOS PAC ID: 7911357959 Enrollment ID: I20240103001103 |
| Provider Name | Rhea Hazen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528627874 PECOS PAC ID: 5496084055 Enrollment ID: I20240117000120 |
| Provider Name | Terrill Dean Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033245444 PECOS PAC ID: 4082669098 Enrollment ID: I20240220001095 |
| Provider Name | Michael James-logan Kite |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386059731 PECOS PAC ID: 2163866088 Enrollment ID: I20240220001097 |
| Provider Name | Alexander P Barton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649416884 PECOS PAC ID: 1153518055 Enrollment ID: I20240227000367 |
| Provider Name | Krystal Marie Browne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326704636 PECOS PAC ID: 8729525191 Enrollment ID: I20240802000983 |
| Provider Name | Alison Emily Burke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588154165 PECOS PAC ID: 3072995695 Enrollment ID: I20240814003820 |
| Provider Name | Mathias Martin Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003321753 PECOS PAC ID: 2264883214 Enrollment ID: I20240826002961 |
| Provider Name | Deevonna Frasier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932614690 PECOS PAC ID: 2769923887 Enrollment ID: I20240917001863 |
| Provider Name | Mckenzie Rae Mellow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578136800 PECOS PAC ID: 9931630597 Enrollment ID: I20241007002014 |
| Provider Name | Jessica Michelle Catellier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649930355 PECOS PAC ID: 1658803416 Enrollment ID: I20241017001975 |
| Provider Name | Margo Chamberlain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306554522 PECOS PAC ID: 5193251932 Enrollment ID: I20241204000840 |
| Provider Name | Enrique Carranza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992249841 PECOS PAC ID: 7113455122 Enrollment ID: I20250103001851 |
| Provider Name | Natalie Joy Crosby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871931451 PECOS PAC ID: 3870019334 Enrollment ID: I20250428002442 |
| Provider Name | Courtney Erin Kendrick Reyes |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295146264 PECOS PAC ID: 8325566680 Enrollment ID: I20250520001877 |
Mid-columbia Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-296-1111 Fax: 541-296-7619 | |
Providence Health & Services - Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1815 E 19th St, Suite 1, The Dalles, OR 97058 Phone: 541-298-5563 | |
One Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Webber St, The Dalles, OR 97058 Phone: 541-296-4610 | |
Mid-columbia Health Service, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-296-7760 Fax: 541-296-7619 | |
Mid-columbia Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 551 Lone Pine Blvd, The Dalles, OR 97058 Phone: 541-506-6920 Fax: 541-296-5451 | |
Gorge Bone Density Testing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 E 19th St, Suite 3, The Dalles, OR 97058 Phone: 509-493-1467 Fax: 509-493-3765 | |
Mid-columbia Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1935 E 19th St, The Dalles, OR 97058 Phone: 541-506-6520 |