Housecall Providers, Pc | |
5100 S Macadam Ave Ste 200 Portland OR 97239-3827 | |
(971) 202-5500 | |
(971) 202-5555 |
Full Name | Housecall Providers, Pc |
---|---|
Speciality | Family Medicine |
Location | 5100 S Macadam Ave Ste 200, Portland, Oregon |
Authorized Official Name and Position | Theresa K. Learn (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5034161415 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Housecall Providers, Pc 315 Sw 5th Ave Portland OR 97204-1753 Ph: () - | Housecall Providers, Pc 5100 S Macadam Ave Ste 200 Portland OR 97239-3827 Ph: (971) 202-5500 |
NPI Number | 1396274817 |
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Provider Enumeration Date | 06/08/2017 |
Last Update Date | 12/07/2021 |
Certification Date | 12/07/2021 |
Medicare PECOS PAC ID | 7113297789 |
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Medicare Enrollment ID | O20170714002101 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396274817 | NPI | - | NPPES |
Provider Name | Jean-claude Provost |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578518080 PECOS PAC ID: 6709852924 Enrollment ID: I20040908001121 |
Provider Name | Diane M Voeller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841282696 PECOS PAC ID: 8820036718 Enrollment ID: I20050421000095 |
Provider Name | Amanda Shields |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417026410 PECOS PAC ID: 8820069271 Enrollment ID: I20080828000374 |
Provider Name | Pamela R Miner |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285690826 PECOS PAC ID: 4183725625 Enrollment ID: I20080903000296 |
Provider Name | Amy Long |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720304843 PECOS PAC ID: 2062543572 Enrollment ID: I20100628000593 |
Provider Name | Laura P Jordhen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538116314 PECOS PAC ID: 4981657665 Enrollment ID: I20101117001275 |
Provider Name | Page G Jossi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871682245 PECOS PAC ID: 5698964112 Enrollment ID: I20110113000686 |
Provider Name | Maria B Bucio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548292998 PECOS PAC ID: 3779683560 Enrollment ID: I20110330000730 |
Provider Name | Ashley M Schumacher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609007624 PECOS PAC ID: 7012170665 Enrollment ID: I20120518000461 |
Provider Name | Craig Edward Tanner |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1477662112 PECOS PAC ID: 0042384810 Enrollment ID: I20130207000218 |
Provider Name | Helen H Zeon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427355163 PECOS PAC ID: 3274787734 Enrollment ID: I20130208000280 |
Provider Name | Brian David Leese |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1487979324 PECOS PAC ID: 3173768835 Enrollment ID: I20130606000231 |
Provider Name | Aurora Boucher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790116366 PECOS PAC ID: 1850522277 Enrollment ID: I20140328001114 |
Provider Name | Kelly Kw Fromuth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689052201 PECOS PAC ID: 8426360371 Enrollment ID: I20150706002575 |
Provider Name | Audrey Rose De Luna Cantor Lundin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962945295 PECOS PAC ID: 5193006203 Enrollment ID: I20170104001196 |
Provider Name | Barbara Sutton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396751012 PECOS PAC ID: 0042104689 Enrollment ID: I20181127001304 |
Provider Name | Katherine Felicia Edstrom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043862550 PECOS PAC ID: 4082945050 Enrollment ID: I20191007002307 |
Provider Name | Sarah J Tomlin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740678200 PECOS PAC ID: 6305269135 Enrollment ID: I20200713000194 |
Provider Name | Emily Anne Huber |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205193463 PECOS PAC ID: 2062708399 Enrollment ID: I20220119002973 |
Provider Name | Sharon R Botwe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710294889 PECOS PAC ID: 5991941460 Enrollment ID: I20230404002801 |
Provider Name | Jamie L Tiller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043925043 PECOS PAC ID: 7517322951 Enrollment ID: I20230508001903 |
Provider Name | Michele Kathleen Pearce |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326190570 PECOS PAC ID: 4082058839 Enrollment ID: I20240220002266 |
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