Diane Michelle Brace, FNP-BC | |
1500 Division St, Oregon City, OR 97045-1527 | |
(503) 650-6270 | |
Not Available |
Full Name | Diane Michelle Brace |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1500 Division St, Oregon City, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598427296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 202110247NP-PP (Oregon) | Primary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952482275 PECOS PAC ID: 3072415652 Enrollment ID: O20040123000519 |
Entity Name | Providence Health & Services - Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912282369 PECOS PAC ID: 5294901922 Enrollment ID: O20120319000430 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191220002077 |
Mailing Address | Practice Location Address |
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Diane Michelle Brace, FNP-BC Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Diane Michelle Brace, FNP-BC 1500 Division St, Oregon City, OR 97045-1527 Ph: (503) 650-6270 |
Janelle Pinkney Mcleod, PHMNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1425 Beavercreek Rd, Oregon City, OR 97045 Phone: 503-722-6577 Fax: 503-655-8595 | |
Ms. Sherry Lynne Chenell, MS, PMHNP, PMHCNS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13663 S Spangler Rd, Oregon City, OR 97045 Phone: 503-957-4857 Fax: 503-632-7605 | |
Jessica J Tang, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 Division St Ste 80, Oregon City, OR 97045 Phone: 503-215-6085 | |
Mr. Joseph Nathan Jett, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2051 Kaen Rd, Oregon City, OR 97045 Phone: 503-650-5631 | |
Staci S Meador, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 Division St Ste 200, Oregon City, OR 97045 Phone: 503-657-1071 Fax: 503-657-3321 | |
Latanya Nikkole Weston, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1425 Beavercreek Rd, Oregon City, OR 97045 Phone: 503-655-8471 | |
Judy Kloos, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Molalla Ave Ste 100, Pacific Medical Group, Oregon City, OR 97045 Phone: 503-656-5273 |