Mary Kuebrich, AGPCNP | |
12442 Sw Scholls Ferry Rd, Tigard, OR 97223-3396 | |
(503) 216-9200 | |
Not Available |
Full Name | Mary Kuebrich |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 12442 Sw Scholls Ferry Rd, Tigard, 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 |
---|---|---|---|
1477902617 | NPI | - | NPPES |
500709519 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 201604516NP-PP (Oregon) | Primary |
363LG0600X | Nurse Practitioner - Gerontology | 201604516NP-PP (Oregon) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Home Health | Portland, OR | Home health agency |
Providence Portland Medical Center | Portland, OR | Hospital |
Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Mailing Address | Practice Location Address |
---|---|
Mary Kuebrich, AGPCNP Po Box 3158, Portland, OR 97208-3158 Ph: () - | Mary Kuebrich, AGPCNP 12442 Sw Scholls Ferry Rd, Tigard, OR 97223-3396 Ph: (503) 216-9200 |
Joseph Roy Zelk, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10220 Sw Greenburg Rd., Suite 150, Tigard, OR 97223 Phone: 503-255-1200 Fax: 503-408-6856 | |
Kecia Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11481 Sw Hall Blvd Ste 200, Tigard, OR 97223 Phone: 503-980-4334 | |
Mrs. Luiza Maria Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7632 Sw Durham Rd Ste 130, Tigard, OR 97224 Phone: 800-936-4756 | |
Martina D Ford, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9370 Sw Greenburg Rd Ste 200, Tigard, OR 97223 Phone: 877-448-3627 | |
Dr. Gretchen Randolph, PH.D, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13635 Sw 115th Ave, Tigard, OR 97223 Phone: 503-968-1155 | |
Martha Patrice Geisheker, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12442 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 Phone: 503-216-9200 | |
Alexandria Raene Thacker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12115 Sw 70th Ave Ste 202, Tigard, OR 97223 Phone: 503-404-2338 |