Nanette Elaine Dudley Dahlquist, MD | |
445 E Main St, Hillsboro, OR 97123-4084 | |
(503) 640-2757 | |
(503) 640-9753 |
Full Name | Nanette Elaine Dudley Dahlquist |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 445 E Main St, 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 |
---|---|---|---|
1114914629 | NPI | - | NPPES |
023873004 | Other | OR | BLUE CROSS/BLUE SHIELD |
R163731 | Other | PTAN | |
055830 | Medicaid | OR | |
2758602 | Other | OR | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD14724 (Oregon) | Primary |
Entity Name | Hillsboro Pediatric Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245312842 PECOS PAC ID: 0143294694 Enrollment ID: O20040821000173 |
Mailing Address | Practice Location Address |
---|---|
Nanette Elaine Dudley Dahlquist, MD 445 E Main St, Hillsboro, OR 97123-4084 Ph: (503) 640-2757 | Nanette Elaine Dudley Dahlquist, MD 445 E Main St, Hillsboro, OR 97123-4084 Ph: (503) 640-2757 |
Dr. Jeannine S Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19400 Nw Evergreen Pwy, Hillsboro, OR 97124 Phone: 503-645-2762 | |
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 | |
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 | |
Cynthia Ann Mcphee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124 Phone: 503-813-2000 |