Peter E Jorgenson, ARNP | |
413 Lilly Rd Ne, Olympia, WA 98506-5133 | |
(360) 493-4083 | |
(360) 486-6436 |
Full Name | Peter E Jorgenson |
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Gender | Male |
Speciality | Nurse Practitioner - Adult Health |
Location | 413 Lilly Rd Ne, Olympia, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376156216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | AP61438592 (Washington) | Primary |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619176997 PECOS PAC ID: 7719873496 Enrollment ID: O20040227000744 |
Mailing Address | Practice Location Address |
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Peter E Jorgenson, ARNP Po Box 3360, Portland, OR 97208-3360 Ph: () - | Peter E Jorgenson, ARNP 413 Lilly Rd Ne, Olympia, WA 98506-5133 Ph: (360) 493-4083 |
Karen Yepez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Lilly Rd Ne Ste 201, Olympia, WA 98506 Phone: 360-413-8272 Fax: 360-413-8878 | |
Ms. Melinda Anne Harris-moulton, MSN, ARNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5201 Dolphin Ln Nw, Olympia, WA 98502 Phone: 360-866-8143 | |
Katelin Petrin, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3434 12th Ave Ne, Olympia, WA 98506 Phone: 360-413-8470 Fax: 360-413-8490 | |
Michelle Jennings Hood, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3920 Capital Mall Dr Sw Ste 400, Olympia, WA 98502 Phone: 360-705-1259 | |
Kimberly E Riano, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2950 Limited Ln Nw, Olympia, WA 98502 Phone: 360-706-2763 Fax: 360-350-0735 | |
Dara S Bernal, AP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3516 7th Ave Sw, Olympia, WA 98502 Phone: 360-489-2906 | |
Madeleine Reed, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 Lilly Rd Ne Ste B, Olympia, WA 98506 Phone: 604-138-2503 |