| Jordan Nomie, | |
|
100 E 33rd St Ste 100, Vancouver, WA 98663 | |
| (360) 514-7550 | |
| Not Available |
| Full Name | Jordan Nomie |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 100 E 33rd St Ste 100, Vancouver, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245762889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO209299 (Oregon) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Nomie, 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 Ph: () - | Jordan Nomie, 100 E 33rd St Ste 100, Vancouver, WA 98663 Ph: (360) 514-7550 |
Andrea Vallejo Carnie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7410 Delaware Ln Uppr Level, Vancouver, WA 98664 Phone: 360-566-4402 | |
David Malekooti, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2101 Ne 139th St Ste 450, Vancouver, WA 98686 Phone: 360-487-4848 | |
Mrs. Sherilyn Marie Foltz Cook, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 16500 Se 15th St, Ste 100, Vancouver, WA 98683 Phone: 360-254-4402 Fax: 360-892-9241 | |
Dr. Matthew Howard Rose, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 N Devine Rd, Vancouver, WA 98661 Phone: 360-952-4457 Fax: 360-828-7409 | |
Dr. Michele Lynn Sequeira, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12607 Se Mill Plain Blvd, Vancouver, WA 98684 Phone: 360-891-6208 Fax: 360-418-6006 | |
Dr. Kevin Deweber, MD, FAMSSM, FAAFP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E. 33rd Street, Family Medicine Of Sw Washington, Vancouver, WA 98663 Phone: 360-514-7550 Fax: 360-514-7494 | |
Dr. David Paik, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E 33rd St, Suite 100, Vancouver, WA 98663 Phone: 360-514-7550 Fax: 360-514-7553 |