Carrie Bailey
Individual provider Active NPI Case Manager/Care Coordinator · Saint Helens, OR
NPI 1275958563 · NPPES record last updated Nov 10, 2021
Key facts
- NPI
- 1275958563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 58646 McNulty Way
Saint Helens, OR 97051-6210 - Phone
- (503) 397-5211
- Fax
- (503) 397-5373
- NPI assigned
- Feb 24, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | OR | ||
| Case Manager/Care Coordinator | 171M00000X | OR | Yes |
Addresses
Primary practice location
58646 McNulty Way
Saint Helens, OR 97051-6210
Mailing address
PO Box 1234
Saint Helens, OR 97051-8234
Phone (503) 397-5211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123190 | Medicaid | OR |
Other names
- Carrie Stucker
Other providers in Saint Helens, OR
- Corenna Lorene Atwood
- Avamere Gable Road Cottages Operations, LLC
- Avamere St. Helens Operations, LLC
- Naiyar Azhar
- Haley Bacon
- Jeri L Bailey
- Lindsey Michelle Bailey
- Amy Dawn Baker
- Ram Abram Banda Corralejo
- Alysha Barbour
All providers in Saint Helens, OR · Case Manager/Care Coordinator in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.