Dr Cheryl Anne Gifford, PHD is a
Psychologist - Clinical based in Coburg, Oregon. Dr Cheryl Anne Gifford is licensed to practice in Oregon (license number 1309) and her current practice location is
1 Serenity Ln, Coburg, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 687-1110.
NPI number for Dr Cheryl Anne Gifford is 1720072044 and her current mailing address is 1 Serenity Ln, Coburg, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720072044.
Healthcare Provider's Profile
| Full Name | Dr Cheryl Anne Gifford |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 1 Serenity Ln, Coburg, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720072044
- Provider Enumeration Date: 08/31/2005
- Last Update Date: 09/17/2021
Medical Identifiers
Medical identifiers for Dr Cheryl Anne Gifford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720072044 | NPI | - | NPPES |
| 181430 | Medicaid | OR | |
| 825411000 | Other | OR | REGENCE BCBS PROV. # |
| J6460 01 | Other | OR | PACIFICSOURCE INS. PROV. |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 1309 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Cheryl Anne Gifford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
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