Johannah Marie Gregg, FNP-C | |
280 S 1st Ave, Mill City, OR 97360-2324 | |
(503) 897-4100 | |
(503) 897-2673 |
Full Name | Johannah Marie Gregg |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 280 S 1st Ave, Mill City, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790456895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | NA (Oregon) | Secondary |
363LF0000X | Nurse Practitioner - Family | 202110588NP-PP (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Klickitat Valley Hospital | Goldendale, WA | Hospital |
Mid-columbia Medical Center | The dalles, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Klickitat County Public Hospital District No1 | 0648164269 | 30 |
Entity Name | Klickitat County Public Hospital District No1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467530915 PECOS PAC ID: 0648164269 Enrollment ID: O20040212000690 |
Mailing Address | Practice Location Address |
---|---|
Johannah Marie Gregg, FNP-C 280 S 1st Ave, Mill City, OR 97360-2324 Ph: (503) 897-4100 | Johannah Marie Gregg, FNP-C 280 S 1st Ave, Mill City, OR 97360-2324 Ph: (503) 897-4100 |
Joseph Peter Lulich, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 280 S 1st Ave, Mill City, OR 97360 Phone: 503-897-4100 Fax: 503-897-2673 | |
Jessica Leigh Grim, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 280 S 1st Ave, Mill City, OR 97360 Phone: 503-897-4100 |