Stasha Anne Hornbeck, MS, RD, LD, CDE | |
9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | |
(503) 571-3040 | |
(503) 571-3095 |
Full Name | Stasha Anne Hornbeck |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 9800 Se Sunnyside Rd, Clackamas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144210949 | NPI | - | NPPES |
028078 | Medicaid | OR | |
8440547 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 860 (Oregon) | Primary |
Provider Name | Kaiser Foundation Health Plan Of The Northwest |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
Mailing Address | Practice Location Address |
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Stasha Anne Hornbeck, MS, RD, LD, CDE 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 Ph: (503) 571-3040 | Stasha Anne Hornbeck, MS, RD, LD, CDE 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 Ph: (503) 571-3040 |
Dr. John Ellis Gobble, DRPH, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 8800 Se Sunnyside Rd, Suite 215-s, Clackamas, OR 97015 Phone: 503-652-5070 Fax: 800-957-1067 | |
Chelsea Lynn Jordan, RD, CDCES Dietitian Medicare: Medicare Enrolled Practice Location: 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015 Phone: 503-659-0880 Fax: 503-513-7425 | |
Ms. Brenda Lou Buck, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3764 Fax: 503-571-8987 | |
Ms. Angela Koon Major, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13568 Se 97th Ave, Clackamas, OR 97015 Phone: 503-652-5070 | |
Makenna Stafford, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 971-279-0963 | |
Katherine Snyder, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Road, Ksmc Nutrition Services, Clackamas, OR 97015 Phone: 503-571-4876 Fax: 503-571-6314 |