| Autumn Mcclellan, FNP | |
|
1990 Nw 21st St, Mcminnville, OR 97128-6769 | |
| (503) 752-2838 | |
| Not Available |
| Full Name | Autumn Mcclellan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1990 Nw 21st St, Mcminnville, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720656655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 201505014RN (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 202107827NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Valley Hospital | Dallas, OR | Hospital |
| Salem Hospital | Salem, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Swiftcare, Llc | 2365702537 | 5 |
| Entity Name | Salem Health West Valley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245237486 PECOS PAC ID: 7810804630 Enrollment ID: O20040225000830 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780647719 PECOS PAC ID: 6608056171 Enrollment ID: O20130123000079 |
| Entity Name | Swiftcare, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235657156 PECOS PAC ID: 2365702537 Enrollment ID: O20180207002791 |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Mcclellan, FNP 1990 Nw 21st St, Mcminnville, OR 97128-6769 Ph: (503) 752-2838 | Autumn Mcclellan, FNP 1990 Nw 21st St, Mcminnville, OR 97128-6769 Ph: (503) 752-2838 |
Ms. Kathleen Gregory, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Nw 6th St, Suite A, Mcminnville, OR 97128 Phone: 503-775-4931 Fax: 503-788-7285 | |
Kimberly Marie Martinez, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 Se Stratus Ave Unit 304, Mcminnville, OR 97128 Phone: 503-434-6090 Fax: 503-474-3306 | |
Toy H Lim, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Ne May Ln, Mcminnville, OR 97128 Phone: 503-472-1338 Fax: 503-434-8597 | |
Ms. Susan E Speece, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Ne May Ln, Mcminnville, OR 97128 Phone: 503-472-1338 Fax: 503-434-8597 | |
Lisa M Rivera, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523 Fax: 503-434-9846 | |
Mrs. Jennifer Sue Behnke, APN, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 Nw 8th St, Mcminnville, OR 97128 Phone: 503-379-0208 Fax: 503-662-6068 | |
Melissa Dawn Cook, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 412 Ne Ford St., Mcminnville, OR 97128 Phone: 503-434-7525 Fax: 503-472-9731 |