Mrs Jesse Tyler Crosland, FNP | |
9743 Se Wessex Way, Happy Valley, OR 97086-7034 | |
(619) 990-8519 | |
Not Available |
Full Name | Mrs Jesse Tyler Crosland |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 9743 Se Wessex Way, Happy Valley, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952068017 | NPI | - | NPPES |
23565982 | Other | OR | KAISER PERMANENTE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WM0705X | Registered Nurse - Medical-surgical | 201240286RN (Oregon) | Secondary |
363L00000X | Nurse Practitioner | 202206429 (Oregon) | Primary |
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 |
---|---|
Mrs Jesse Tyler Crosland, FNP 9743 Se Wessex Way, Happy Valley, OR 97086-7034 Ph: (619) 990-8518 | Mrs Jesse Tyler Crosland, FNP 9743 Se Wessex Way, Happy Valley, OR 97086-7034 Ph: (619) 990-8519 |
Graham A Phelps, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015 Phone: 503-582-4900 | |
Megan Bruce, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16144 Se Happy Valley Town Center Dr Ste 101, Happy Valley, OR 97086 Phone: 503-659-4988 Fax: 503-698-4018 | |
Anup Mammen Varghese, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9300 Se 91st Ave Ste 400, Happy Valley, OR 97086 Phone: 503-775-6500 | |
Kristi Keats, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11995 Se Sunnyside Rd, Happy Valley, OR 97015 Phone: 888-227-3312 | |
Mary Kathleen Easton, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 10131 Se Palatial Ct, Happy Valley, OR 97086 Phone: 503-786-4060 Fax: 503-652-6972 | |
Kimberly K Rodda, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16180 Se Sunnyside Rd, Suite 102, Happy Valley, OR 97015 Phone: 503-582-4900 | |
Edward Joseph Drew, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11211 Se 82nd Ave, Suite O, Happy Valley, OR 97086 Phone: 503-722-6200 Fax: 503-722-6545 |