| New Directions Northwest, Inc | |
|
3425 13th St Baker City OR 97814-1340 | |
| (541) 523-4000 | |
| (541) 523-4927 |
| Full Name | New Directions Northwest, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3425 13th St, Baker City, Oregon |
| Authorized Official Name and Position | Shari A. Selander (CEO) |
| Authorized Official Contact | 5415237400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Directions Northwest, Inc 3425 13th St Baker City OR 97814-1340 Ph: (541) 523-4000 | New Directions Northwest, Inc 3425 13th St Baker City OR 97814-1340 Ph: (541) 523-4000 |
| NPI Number | 1235124462 |
|---|---|
| Provider Enumeration Date | 09/14/2005 |
| Last Update Date | 03/19/2021 |
| Medicare PECOS PAC ID | 0446572721 |
|---|---|
| Medicare Enrollment ID | O20141124001911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235124462 | NPI | - | NPPES |
| 500631919 | Medicaid | OR | |
| 014886 | Medicaid | OR |
| Provider Name | Christine M Seals |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164412755 PECOS PAC ID: 5799777173 Enrollment ID: I20050629001050 |
| Provider Name | Deeann K Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750493847 PECOS PAC ID: 5193803641 Enrollment ID: I20080423000587 |
| Provider Name | Shad M Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013287507 PECOS PAC ID: 5496991218 Enrollment ID: I20130424000600 |
| Provider Name | Reta D Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841540705 PECOS PAC ID: 0042435984 Enrollment ID: I20140708002348 |
| Provider Name | Kelli G Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407090822 PECOS PAC ID: 9335468792 Enrollment ID: I20150506001237 |
| Provider Name | Molly C Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447387964 PECOS PAC ID: 7113237694 Enrollment ID: I20161031001460 |
| Provider Name | Taylor B Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740729599 PECOS PAC ID: 2860769692 Enrollment ID: I20170530000869 |
| Provider Name | Heidi D Wartena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376810242 PECOS PAC ID: 4688911886 Enrollment ID: I20190125002178 |
| Provider Name | Harmony D West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902931801 PECOS PAC ID: 0749522977 Enrollment ID: I20190823002812 |
| Provider Name | Colleen Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003223694 PECOS PAC ID: 8527286376 Enrollment ID: I20200102001493 |
| Provider Name | Rachel E Castle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356714257 PECOS PAC ID: 4183045487 Enrollment ID: I20200828002632 |
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