Addison McKenna Alexys Brown
Individual provider Active NPI Mental Health Counselor · Wilsonville, OR
NPI 1649006552 · NPPES record last updated Sep 9, 2024
Key facts
- NPI
- 1649006552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 29120 SW San Remo CT
Wilsonville, OR 97070-7373 - Phone
- (503) 682-1840
- Fax
- (503) 682-1873
- NPI assigned
- Sep 9, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbiacare Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
29120 SW San Remo CT
Wilsonville, OR 97070-7373
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170
Other providers in Wilsonville, OR
- Ryan Bridges
- Brittany Samantha Brockman
- Brookdale Hospice, LLC
- Brittney Brookfield
- Jeffery Alan Brooks
- Brooke Brown
- Joyce Wangsgard Brown
- Caitlin Ashley Bruns
- Rachael Alana Bubeck
- Madeleine Bucci
All providers in Wilsonville, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2024. 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.