| Dr Kara R Johansen, PSYD | |
|
21810 Willamette Dr Ste 200, West Linn, OR 97068-3287 | |
| (503) 994-4353 | |
| Not Available |
| Full Name | Dr Kara R Johansen |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 16 Years |
| Location | 21810 Willamette Dr Ste 200, West Linn, 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 |
|---|---|---|---|
| 1124220389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P0000002916 (Tennessee) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3190 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holy Family Catholic Clinic, P.s. | 4587083779 | 5 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053862714 PECOS PAC ID: 7315856010 Enrollment ID: O20040304001330 |
| Entity Name | Holy Family Catholic Clinic, P.s. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619588175 PECOS PAC ID: 4587083779 Enrollment ID: O20201008000826 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kara R Johansen, PSYD 21810 Willamette Dr Ste 200, West Linn, OR 97068-3287 Ph: (503) 994-4353 | Dr Kara R Johansen, PSYD 21810 Willamette Dr Ste 200, West Linn, OR 97068-3287 Ph: (503) 994-4353 |
Dr. Tracy Leigh Chisholm, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22400 Johnson Rd, West Linn, OR 97068 Phone: 850-294-5733 | |
Rachel Miles, ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6065 W A St, West Linn, OR 97068 Phone: 503-825-7634 | |
Dr. Paige L. Marmer, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21900 Willamette Dr Ste 202, West Linn, OR 97068 Phone: 503-653-0631 Fax: 503-653-1464 | |
Dr. David Robert Gleave, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Blankenship Rd Ste 200, West Linn, OR 97068 Phone: 971-350-8776 | |
Dr. Nancy R Bryant, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2008 Willamette Falls Dr Ste 200a, West Linn, OR 97068 Phone: 503-655-3505 | |
Dr. Harold Buchanan Robb Iii, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 19801 S Hazelhurst Ln, West Linn, OR 97068 Phone: 503-523-8562 |