Christina E Kellogg-gratchner, PNP | |
445 E Main St, Hillsboro, OR 97123-4084 | |
(503) 640-2757 | |
(503) 640-9753 |
Full Name | Christina E Kellogg-gratchner |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - 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 |
---|---|---|---|
1124015631 | NPI | - | NPPES |
R167202 | Other | PTAN | |
000458 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 086000482 (Oregon) | Primary |
Entity Name | Hillsboro Pediatric Clinic Llc |
---|---|
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 |
---|---|
Christina E Kellogg-gratchner, PNP 445 E Main St, Hillsboro, OR 97123-4084 Ph: (503) 640-2757 | Christina E Kellogg-gratchner, PNP 445 E Main St, Hillsboro, OR 97123-4084 Ph: (503) 640-2757 |
Mrs. Christine Marie Douglas, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 535 Se Washington St, Hillsboro, OR 97123 Phone: 503-755-6703 Fax: 503-755-6704 | |
Tina M Barber, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19075 Nw Tanasbourne Dr, Suit 200, Hillsboro, OR 97124 Phone: 503-684-8252 | |
Timothy Charles Kruth, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10690 Ne Cornell Rd Ste 220, Hillsboro, OR 97124 Phone: 503-848-5861 Fax: 503-848-5863 | |
Ms. Kathryn Rose Van Beeck, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19400 Nw Evergreen Pwy, Hillsboro, OR 97124 Phone: 503-645-2762 | |
Shannon Hummel, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 535 Se Washington St, Hillsboro, OR 97123 Phone: 503-755-6703 Fax: 503-755-6704 | |
Margaret Wittenauer-lee, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 Se 7th Ave Suite 5550, Hillsboro, OR 97123 Phone: 503-681-4273 | |
Patricia Hazel Glazier, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4660 Ne Belknap Ct, Suite 109, Hillsboro, OR 97124 Phone: 503-693-1944 Fax: 503-693-1941 |