| Mccfl | |
|
1060 Webber St The Dalles OR 97058-3749 | |
| (541) 296-5452 | |
| (541) 296-9418 |
| Full Name | Mccfl |
|---|---|
| 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 |
|---|---|
| Mccfl 1060 Webber St The Dalles OR 97058-3749 Ph: (541) 296-5452 | Mccfl 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 | Lynette N Alber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952451916 PECOS PAC ID: 0941397681 Enrollment ID: I20071029000191 |
| 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 | Helen M Birkbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518037860 PECOS PAC ID: 3173792215 Enrollment ID: I20190329001701 |
| Provider Name | Rachel 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 | Lorena Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093020455 PECOS PAC ID: 6305066069 Enrollment ID: I20211202000611 |
| 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 | Steven Seeley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639539315 PECOS PAC ID: 5092165191 Enrollment ID: I20240102003700 |
| Provider Name | Elizabeth Barteld |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750653150 PECOS PAC ID: 4082064183 Enrollment ID: I20240102003742 |
| Provider Name | Misty Lynn Lacy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487161774 PECOS PAC ID: 2961852967 Enrollment ID: I20240102003879 |
| Provider Name | Kalyn Sherwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740842616 PECOS PAC ID: 7911357959 Enrollment ID: I20240103001103 |
| Provider Name | Mathias M Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003321753 PECOS PAC ID: 2264883214 Enrollment ID: I20240104000591 |
| Provider Name | Cecile Marie Connelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013289628 PECOS PAC ID: 6507217957 Enrollment ID: I20240110000978 |
| 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 |
Adventist Health Columbia Gorge Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-296-1111 Fax: 541-296-7619 | |
One Community Health- The Dalles 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 | |
Water's Edge Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 551 Lone Pine Blvd, The Dalles, OR 97058 Phone: 541-506-6920 Fax: 541-296-5451 | |
Fran M Yuhas 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 | |
Adventist Health Columbia Gorge Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1935 E 19th St, The Dalles, OR 97058 Phone: 541-506-6520 | |
Columbia River Medical Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 E 12th St, Suite 100, The Dalles, OR 97058 Phone: 541-296-1919 Fax: 541-296-2253 |