| Dr Cheryl Anne Gifford, PHD | |
|
1 Serenity Ln, Coburg, OR 97408-9350 | |
| (541) 687-1110 | |
| (541) 687-9041 |
| Full Name | Dr Cheryl Anne Gifford |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 33 Years |
| Location | 1 Serenity Ln, Coburg, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720072044 | NPI | - | NPPES |
| 181430 | Medicaid | OR | |
| 825411000 | Other | OR | REGENCE BCBS PROV. # |
| J6460 01 | Other | OR | PACIFICSOURCE INS. PROV. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1309 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lgbtq Telepsychiatry | 5890207492 | 17 |
| Entity Name | Lgbtq Telepsychiatry |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336722859 PECOS PAC ID: 5890207492 Enrollment ID: O20250620000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cheryl Anne Gifford, PHD 1 Serenity Ln, Coburg, OR 97408-9350 Ph: (541) 687-1110 | Dr Cheryl Anne Gifford, PHD 1 Serenity Ln, Coburg, OR 97408-9350 Ph: (541) 687-1110 |
Jasmine Ramirez-miranda, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Serenity Ln, Coburg, OR 97408 Phone: 541-284-5704 |
Douglas Gomez, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 91150 N Coburg Industrial Way, Coburg, OR 97408 Phone: 541-284-5675 |
Dr. Christopher Capron, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Serenity Ln, Coburg, OR 97408 Phone: 541-262-0788 |