Ellen L Tilden, CNM | |
3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | |
(503) 494-4500 | |
Not Available |
Full Name | Ellen L Tilden |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417054297 | NPI | - | NPPES |
227416 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 200341454RN (Oregon) | Primary |
367A00000X | Advanced Practice Midwife | 200350082NP (Oregon) | Secondary |
Entity Name | University Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
Mailing Address | Practice Location Address |
---|---|
Ellen L Tilden, CNM 2805 Se Yamhill St, Portland, OR 97214-4038 Ph: (503) 238-2476 | Ellen L Tilden, CNM 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-4500 |
Margaret R. Zak, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 9340 Sw Barnes Road, The Prenatal Clinic, Suite 102, Portland, OR 97225 Phone: 503-216-2859 | |
Margaret Elizabeth Shaw, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4500 | |
Elise N Erickson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9427 Sw Barnes Rd, Suite 395, Portland, OR 97225 Phone: 503-216-2602 | |
Olivia Kroening-roche, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7591 Fax: 503-494-7591 | |
Kaitlin Delfin, RN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-494-7534 | |
Polly C Molden, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-4500 Fax: 503-494-1678 | |
Kelsey Tassinari Poppe, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-494-7725 |