Mrs Dana Jones Ulrich, CNM | |
19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | |
(503) 692-1242 | |
(503) 691-3615 |
Full Name | Mrs Dana Jones Ulrich |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 19250 Sw 65th Ave, Tualatin, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356717359 | NPI | - | NPPES |
500691830 | Medicaid | OR | |
R184165 | Other | OR | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 201505551NP-PP (Oregon) | Secondary |
367A00000X | Advanced Practice Midwife | 201505551NP-PP (Oregon) | Primary |
Entity Name | Legacy Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
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Mrs Dana Jones Ulrich, CNM 7650 Sw Beveland Rd, Suite 200, Portland, OR 97223-8692 Ph: () - | Mrs Dana Jones Ulrich, CNM 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 Ph: (503) 692-1242 |
Nicole M Rudy, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 19250 Sw 65th Ave Ste 300, Tualatin, OR 97062 Phone: 503-692-1242 Fax: 503-691-3615 | |
Anna Luisa Raffaelli, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave Ste 300, Tualatin, OR 97062 Phone: 503-692-1242 Fax: 503-691-3615 | |
Ms. Nancy Ann Macy, WHCNP CNM Advanced Practice Midwife Medicare: May Accept Medicare Assignments Practice Location: 19365 Sw 65th Ave Ste 105, Tualatin, OR 97062 Phone: 503-454-0018 Fax: 503-848-3471 | |
Jane Elizabeth Adkins Nath, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062 Phone: 503-692-1242 Fax: 503-691-3615 |