Jessamyn Ann Bothwell, CNM | |
7305 Se Circuit Dr Ste 260, Hillsboro, OR 97123-1915 | |
(503) 342-9928 | |
Not Available |
Full Name | Jessamyn Ann Bothwell |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 7305 Se Circuit Dr Ste 260, 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 |
---|---|---|---|
1033845300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 202004787NP-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 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
Mailing Address | Practice Location Address |
---|---|
Jessamyn Ann Bothwell, CNM Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Jessamyn Ann Bothwell, CNM 7305 Se Circuit Dr Ste 260, Hillsboro, OR 97123-1915 Ph: (503) 342-9928 |
Mary Lucarelli Gallagher, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 7431 Ne Evergreen Pkwy Ste 100, Hillsboro, OR 97124 Phone: 503-840-3400 Fax: 503-840-3409 | |
Tarra Lynne Castillo, CNM, NMNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 333 Se 7th Ave Ste 5500, Hillsboro, OR 97123 Phone: 503-597-4500 Fax: 505-974-5015 | |
Ms. Jabke S Buesseler, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 7431 Ne Evergreen Pkwy, Ste 100, Hillsboro, OR 97124 Phone: 503-840-3400 Fax: 503-840-3409 | |
Monica Maria Arce, RN, MN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 226 Se 8th Ave, Hillsboro, OR 97123 Phone: 503-601-7400 | |
Venay M Uecke, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 364 Se 8th Ave, Hillsboro, OR 97123 Phone: 503-681-4145 Fax: 503-681-4146 | |
Jessica J Bonilla, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 333 Se 7th Ave, Hillsboro, OR 97123 Phone: 503-597-4500 |