Jessica Lauren Thatcher, | |
9830 Ne Cascades Pkwy, Ste 200, Portland, OR 97220 | |
(650) 464-3401 | |
Not Available |
Full Name | Jessica Lauren Thatcher |
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Gender | Female |
Speciality | Registered Nurse |
Location | 9830 Ne Cascades Pkwy, Ste 200, 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 |
---|---|---|---|
1376930925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 201403201RN (Oregon) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Jessica Lauren Thatcher, 9830 Ne Cascades Pkwy Ste 200, Portland, OR 97220-6834 Ph: () - | Jessica Lauren Thatcher, 9830 Ne Cascades Pkwy, Ste 200, Portland, OR 97220 Ph: (650) 464-3401 |
Nanis Gilmore, RN, CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 541 Ne 20th Ave, Suite 210, Portland, OR 97232 Phone: 503-233-6940 Fax: 503-236-2676 | |
Julie Liddicoat, CHN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 3rd Floor, Portland, OR 97204 Phone: 503-988-3417 Fax: 503-988-3419 | |
Valeriy Igumnov, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 847 Ne 19th Ave, Suite 100, Portland, OR 97232 Phone: 503-238-0769 Fax: 503-552-6208 | |
John Saklofsky, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3131 N Vancouver Ave, Portland, OR 97227 Phone: 503-528-5521 | |
Misrak Ayele, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 950 Sw 21st Ave Apt 1014, Portland, OR 97205 Phone: 503-449-3925 | |
Bonnie Kay Schonbachler, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2330 Ne Siskiyou St, Portland, OR 97212 Phone: 503-528-0757 | |
Mrs. Samantha Lancaster, RN-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-257-2500 |