Ms Kirsten Gwynn, CNM | |
24850 Se Stark St Ste 200, Gresham, OR 97030-8320 | |
(503) 491-9444 | |
(503) 661-3430 |
Full Name | Ms Kirsten Gwynn |
---|---|
Gender | Female |
Speciality | Certified Nurse Midwife (cnm) |
Experience | 12 Years |
Location | 24850 Se Stark St Ste 200, Gresham, 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 |
---|---|---|---|
1982041703 | NPI | - | NPPES |
MW010305 | Other | PA | NURSE-MIDWIFE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | MW010305 (Pennsylvania) | Secondary |
367A00000X | Advanced Practice Midwife | 201405814NP-PP (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Clinics Llc | 0244144004 | 633 |
Entity Name | Legacy Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Mailing Address | Practice Location Address |
---|---|
Ms Kirsten Gwynn, CNM Po Box 3777, Portland, OR 97208-3777 Ph: (503) 413-3900 | Ms Kirsten Gwynn, CNM 24850 Se Stark St Ste 200, Gresham, OR 97030-8320 Ph: (503) 491-9444 |
June Ellen Hobbs, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 24850 Se Stark St, Suite 200, Gresham, OR 97030 Phone: 503-491-9444 Fax: 503-661-3430 | |
Jessica Anne Hargadine, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 24850 Se Stark St Ste 200, Gresham, OR 97030 Phone: 503-491-9444 | |
Julie Shiprack, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 24850 Se Stark St Ste 200, Gresham, OR 97030 Phone: 503-491-9444 | |
Emily Franco Hoffman, CNM/NP Advanced Practice Midwife Medicare: May Accept Medicare Assignments Practice Location: 24850 Se Stark St., Suite 200, Gresham, OR 97030 Phone: 503-491-9444 Fax: 503-661-3430 |