Melissa Portnoy, ARNP | |
390 Founders Way, Forks, WA 98331-9062 | |
(360) 374-6998 | |
(360) 374-3162 |
Full Name | Melissa Portnoy |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 390 Founders Way, Forks, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144009119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WE0003X | Registered Nurse - Emergency | RN60565637 (Washington) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP61499144 (Washington) | Primary |
Entity Name | Clallam County Public Hospital District No 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891879680 PECOS PAC ID: 1557256468 Enrollment ID: O20040219000309 |
Mailing Address | Practice Location Address |
---|---|
Melissa Portnoy, ARNP 530 Bogachiel Way, Forks, WA 98331-9120 Ph: (360) 374-6271 | Melissa Portnoy, ARNP 390 Founders Way, Forks, WA 98331-9062 Ph: (360) 374-6998 |
Jean Carson Fletcher, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 C St, Forks, WA 98331 Phone: 360-374-3514 Fax: 360-374-5464 | |
Kathy L. Shannon, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 590 Bogachiel Way, Forks, WA 98331 Phone: 360-374-6271 Fax: 360-374-9781 | |
Ms. Laura Ann Kripinski, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 461 G St, Forks, WA 98331 Phone: 360-374-6224 Fax: 360-374-6039 | |
Stephanie Marie Bechtold, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 Founders Way, Forks, WA 98331 Phone: 360-374-6998 |