Tarra Lynne Castillo, CNM, NMNP | |
333 Se 7th Ave Ste 5500, Hillsboro, OR 97123-4185 | |
(503) 597-4500 | |
(505) 974-5015 |
Full Name | Tarra Lynne Castillo |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 333 Se 7th Ave Ste 5500, Hillsboro, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235459041 | NPI | - | NPPES |
500634641 | Medicaid | OR | |
1235459041 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 60125680 (Washington) | Secondary |
367A00000X | Advanced Practice Midwife | 201050062NP (Oregon) | Primary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Mailing Address | Practice Location Address |
---|---|
Tarra Lynne Castillo, CNM, NMNP Po Box 6149, Beaverton, OR 97007-0149 Ph: (503) 352-8642 | Tarra Lynne Castillo, CNM, NMNP 333 Se 7th Ave Ste 5500, Hillsboro, OR 97123-4185 Ph: (503) 597-4500 |
Mary Lucarelli Gallagher, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 7431 Ne Evergreen Pkwy Ste 100, Hillsboro, OR 97124 Phone: 503-840-3400 Fax: 503-840-3409 | |
Jessamyn Ann Bothwell, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 7305 Se Circuit Dr Ste 260, Hillsboro, OR 97123 Phone: 503-342-9928 | |
Ms. Jabke S Buesseler, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 7431 Ne Evergreen Pkwy, Ste 100, Hillsboro, OR 97124 Phone: 503-840-3400 Fax: 503-840-3409 | |
Monica Maria Arce, RN, MN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 226 Se 8th Ave, Hillsboro, OR 97123 Phone: 503-601-7400 | |
Venay M Uecke, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 364 Se 8th Ave, Hillsboro, OR 97123 Phone: 503-681-4145 Fax: 503-681-4146 | |
Jessica J Bonilla, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 333 Se 7th Ave, Hillsboro, OR 97123 Phone: 503-597-4500 |