Elizabeth H Feddersen, FNP-C | |
1024 Sw 12th St, Troutdale, OR 97060-1498 | |
(503) 813-2000 | |
Not Available |
Full Name | Elizabeth H Feddersen |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1024 Sw 12th St, Troutdale, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699142737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 201604219NP-PP (Oregon) | Primary |
363LF0000X | Nurse Practitioner - Family | AP60653190 (Washington) | Secondary |
Entity Name | Dhs/office Of Financial Services Irs/eopc/bmrc/eotc/osh/osh-p |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508802489 PECOS PAC ID: 0547170383 Enrollment ID: O20040130000453 |
Mailing Address | Practice Location Address |
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Elizabeth H Feddersen, FNP-C 1024 Sw 12th St, Troutdale, OR 97060-1498 Ph: (503) 209-3868 | Elizabeth H Feddersen, FNP-C 1024 Sw 12th St, Troutdale, OR 97060-1498 Ph: (503) 813-2000 |
Ms. Karen Marto, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Sw 257th Ave, Troutdale, OR 97060 Phone: 503-669-6800 Fax: 503-491-2434 | |
Sharon Brennan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 Sw 257th Avenue, Columbia View Family Health Center, Troutdale, OR 97060 Phone: 503-667-7711 Fax: 503-669-8328 | |
Dana Davies, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 Sw 257th Ave, Troutdale, OR 97060 Phone: 503-667-7711 | |
Joshua Alan Minter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Sw 257th Ave, Troutdale, OR 97060 Phone: 503-669-6800 | |
Christine A Whitaker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 Sw 257th Ave, Troutdale, OR 97060 Phone: 503-667-7711 Fax: 503-669-9908 | |
Ashlyn G Taulbee, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Sw 257th Ave, Troutdale, OR 97060 Phone: 503-669-6800 Fax: 503-492-1352 |