| Lusijah Marx, PSYD, PMHNP, RN | |
|
2901 E Burnside St, Portland, OR 97214-1831 | |
| (503) 238-5203 | |
| (503) 238-5202 |
| Full Name | Lusijah Marx |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 34 Years |
| Location | 2901 E Burnside St, Portland, 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 |
|---|---|---|---|
| 1780726976 | NPI | - | NPPES |
| 298940 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 964 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiance Integrative Health And Wellness | 3870028715 | 2 |
| Project Quest | 3971490970 | 7 |
| Entity Name | Project Quest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144250168 PECOS PAC ID: 3971490970 Enrollment ID: O20040303000958 |
| Entity Name | Redwood Collaborative Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477252716 PECOS PAC ID: 0648624015 Enrollment ID: O20231004000783 |
| Entity Name | Radiance Integrative Health & Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124863261 PECOS PAC ID: 3870028715 Enrollment ID: O20241202000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Lusijah Marx, PSYD, PMHNP, RN 2901 E Burnside St, Portland, OR 97214-1831 Ph: (503) 238-5203 | Lusijah Marx, PSYD, PMHNP, RN 2901 E Burnside St, Portland, OR 97214-1831 Ph: (503) 238-5203 |
Dr. Douglas L Dunlap, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1121 Ne 2nd Ave, Portland, OR 97232 Phone: 503-731-8692 | |
Dr. David Hugh Haven, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Ne Weidler St Ste 201, Portland, OR 97232 Phone: 503-312-0281 | |
Dr. Hillel Samlan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 917 Sw Oak St Ste 417, Portland, OR 97205 Phone: 503-278-5908 | |
Dr. Susan Orchard, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7415 N Oatman Ave, Portland, OR 97217 Phone: 503-358-6479 | |
Mrs. Nellie Cichon, CADC 1 Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8202 N Denver Ave, Portland, OR 97217 Phone: 503-285-3200 Fax: 503-245-6263 | |
Alison D. Armour, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-813-2000 | |
Laura Isabel Miranda Olivera, MA, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219 Phone: 855-295-3276 Fax: 888-588-2752 |