| Tms Physician Services, P.c. | |
|
2701 Nw Vaughn St Ste 325 Portland OR 97210-5383 | |
| (503) 610-6563 | |
| (503) 227-8058 |
| Full Name | Tms Physician Services, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2701 Nw Vaughn St Ste 325, Portland, Oregon |
| Authorized Official Name and Position | Jonathan Thomas Horey (OWNER) |
| Authorized Official Contact | 6464799469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tms Physician Services, P.c. 2090 Valley View Dr West Linn OR 97068-1906 Ph: (503) 610-6563 | Tms Physician Services, P.c. 2701 Nw Vaughn St Ste 325 Portland OR 97210-5383 Ph: (503) 610-6563 |
| NPI Number | 1881139913 |
|---|---|
| Provider Enumeration Date | 12/28/2016 |
| Last Update Date | 01/26/2021 |
| Certification Date | 01/26/2021 |
| Medicare PECOS PAC ID | 2567720113 |
|---|---|
| Medicare Enrollment ID | O20180103001359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881139913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 164194 (Oregon) | Primary |
| Provider Name | Simona Borza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730362088 PECOS PAC ID: 8022153584 Enrollment ID: I20100308000954 |
| Provider Name | Daniela Letz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184785727 PECOS PAC ID: 1355588526 Enrollment ID: I20130507000192 |
| Provider Name | Nancy Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881900603 PECOS PAC ID: 9830408756 Enrollment ID: I20151015001863 |
| Provider Name | Jonathan Thomas Horey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144415951 PECOS PAC ID: 4183748247 Enrollment ID: I20180116002539 |
| Provider Name | Leasel Wayne Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275939043 PECOS PAC ID: 3779900337 Enrollment ID: I20200827000547 |
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