Scott D Sonek, PMHNP | |
4805 Ne Glisan St, 3e, Portland, OR 97213-2933 | |
(503) 215-7669 | |
Not Available |
Full Name | Scott D Sonek |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 4805 Ne Glisan St, Portland, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164688156 | NPI | - | NPPES |
026205 | Medicaid | OR | |
500628066 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 200850087NP (Oregon) | Primary |
363L00000X | Nurse Practitioner | 200850087NP (Oregon) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
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 |
---|---|
Scott D Sonek, PMHNP Po Box 3158, Portland, OR 97208-3158 Ph: () - | Scott D Sonek, PMHNP 4805 Ne Glisan St, 3e, Portland, OR 97213-2933 Ph: (503) 215-7669 |
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