Kathleen M Smith, MD | |
10690 Ne Cornell Rd Ste 220, Hillsboro, OR 97124-9224 | |
(503) 848-5861 | |
Not Available |
Full Name | Kathleen M Smith |
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Gender | Female |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 10690 Ne Cornell Rd Ste 220, Hillsboro, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699796201 | NPI | - | NPPES |
298528 | Medicaid | OR | |
8129355 | Medicaid | WA |
Entity Name | Legacy Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20050627000226 |
Mailing Address | Practice Location Address |
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Kathleen M Smith, MD 3020 Childrens Way # Mc5075, San Diego, CA 92123-4223 Ph: (858) 966-8036 | Kathleen M Smith, MD 10690 Ne Cornell Rd Ste 220, Hillsboro, OR 97124-9224 Ph: (503) 848-5861 |
Dr. Jeannine S Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19400 Nw Evergreen Pwy, Hillsboro, OR 97124 Phone: 503-645-2762 | |
Nanette Elaine Dudley Dahlquist, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 445 E Main St, Hillsboro, OR 97123 Phone: 503-640-2757 Fax: 503-640-9753 | |
Greg W Brown, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 445 E Main St, Hillsboro, OR 97123 Phone: 503-640-2757 Fax: 503-640-9753 | |
Vinaya B Pai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 445 E Main St, Hillsboro, OR 97123 Phone: 503-640-2757 Fax: 503-640-9753 | |
Erica Marie Hadley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7305 Se Circuit Dr Ste 270, Hillsboro, OR 97123 Phone: 503-342-9931 | |
Christy Perel Coss, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2875 Nw Stucki Ave, Hillsboro, OR 97124 Phone: 503-813-2000 | |
Karla Hennebold, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19400 Nw Evergreen Pwy, Hillsboro, OR 97124 Phone: 503-645-2762 |