| Oregon Neurology Associates | |
|
1 Hayden Bridge Way Springfield OR 97477 | |
| (541) 868-9430 | |
| (541) 868-9450 |
| Full Name | Oregon Neurology Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Hayden Bridge Way, Springfield, Oregon |
| Authorized Official Name and Position | Connie Mcvein (CEO) |
| Authorized Official Contact | 5418689430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Neurology Associates 1 Hayden Bridge Way Springfield OR 97477-1347 Ph: (541) 868-9430 | Oregon Neurology Associates 1 Hayden Bridge Way Springfield OR 97477 Ph: (541) 868-9430 |
| NPI Number | 1831153139 |
|---|---|
| Provider Enumeration Date | 04/13/2006 |
| Last Update Date | 04/26/2021 |
| Certification Date | 04/26/2021 |
| Medicare PECOS PAC ID | 0446246888 |
|---|---|
| Medicare Enrollment ID | O20040422000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831153139 | NPI | - | NPPES |
| 023861 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Mark O Herring |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689636284 PECOS PAC ID: 3971696147 Enrollment ID: I20070904000336 |
| Provider Name | Raymond N Englander |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316018898 PECOS PAC ID: 6103827365 Enrollment ID: I20100714000222 |
| Provider Name | Michael Balm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164593646 PECOS PAC ID: 1658372818 Enrollment ID: I20100714000250 |
| Provider Name | Joshua J Hagemeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164737425 PECOS PAC ID: 3476748229 Enrollment ID: I20101108000008 |
| Provider Name | David A Clark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578760278 PECOS PAC ID: 6406033141 Enrollment ID: I20120724000001 |
| Provider Name | Jeffrey Russell Frank |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023246600 PECOS PAC ID: 2769608488 Enrollment ID: I20140731002998 |
| Provider Name | Kimberly Van Winkle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467887778 PECOS PAC ID: 1153683404 Enrollment ID: I20180326001295 |
| Provider Name | Jessica Leila Stachyra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265875082 PECOS PAC ID: 5395019566 Enrollment ID: I20180601000898 |
| Provider Name | Tyler A Shupe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356696660 PECOS PAC ID: 2163673385 Enrollment ID: I20180927001522 |
| Provider Name | Sierra D Belisle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124526157 PECOS PAC ID: 6002153178 Enrollment ID: I20190128001541 |
| Provider Name | Brian James Duke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285107748 PECOS PAC ID: 7315286796 Enrollment ID: I20190301000408 |
| Provider Name | Jordan E Horner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184096323 PECOS PAC ID: 8729414065 Enrollment ID: I20200205002719 |
| Provider Name | Julia D Taylor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972690469 PECOS PAC ID: 2860820016 Enrollment ID: I20200321000582 |
| Provider Name | Rylee L Fitzgerald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821620006 PECOS PAC ID: 8729416995 Enrollment ID: I20200323000161 |
| Provider Name | Kristina Marie Hart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558758755 PECOS PAC ID: 6103247341 Enrollment ID: I20210607000000 |
| Provider Name | Derek J Mcfaul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972998722 PECOS PAC ID: 0042547440 Enrollment ID: I20210614002834 |
| Provider Name | Kristina W Fredette |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922610278 PECOS PAC ID: 4486051927 Enrollment ID: I20210924002894 |
| Provider Name | Lauren N Kitzel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992412225 PECOS PAC ID: 1658743216 Enrollment ID: I20230207002949 |
| Provider Name | Kaitlin Counts |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770183329 PECOS PAC ID: 4688046683 Enrollment ID: I20230220001506 |
| Provider Name | Kimberly Lynn Skinner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396071478 PECOS PAC ID: 9234188434 Enrollment ID: I20230417000135 |
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