Jacob Gabriel Kirkwood, PMHNP | |
10151 Se Sunnyside Rd Ste 480, Happy Valley, OR 97015-5705 | |
(503) 739-8321 | |
Not Available |
Full Name | Jacob Gabriel Kirkwood |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 10151 Se Sunnyside Rd Ste 480, Happy Valley, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1700566585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | 201607151 (Oregon) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10011841 (Oregon) | Primary |
Entity Name | Western Psychological And Counseling Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912008178 PECOS PAC ID: 7719975085 Enrollment ID: O20040505000049 |
Mailing Address | Practice Location Address |
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Jacob Gabriel Kirkwood, PMHNP 10151 Se Sunnyside Rd Ste 480, Happy Valley, OR 97015-5705 Ph: (503) 739-8321 | Jacob Gabriel Kirkwood, PMHNP 10151 Se Sunnyside Rd Ste 480, Happy Valley, OR 97015-5705 Ph: (503) 739-8321 |
Graham A Phelps, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015 Phone: 503-582-4900 | |
Megan Bruce, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16144 Se Happy Valley Town Center Dr Ste 101, Happy Valley, OR 97086 Phone: 503-659-4988 Fax: 503-698-4018 | |
Anup Mammen Varghese, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9300 Se 91st Ave Ste 400, Happy Valley, OR 97086 Phone: 503-775-6500 | |
Kristi Keats, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11995 Se Sunnyside Rd, Happy Valley, OR 97015 Phone: 888-227-3312 | |
Mary Kathleen Easton, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 10131 Se Palatial Ct, Happy Valley, OR 97086 Phone: 503-786-4060 Fax: 503-652-6972 | |
Kimberly K Rodda, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16180 Se Sunnyside Rd, Suite 102, Happy Valley, OR 97015 Phone: 503-582-4900 | |
Edward Joseph Drew, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11211 Se 82nd Ave, Suite O, Happy Valley, OR 97086 Phone: 503-722-6200 Fax: 503-722-6545 |