Vanessa Landis, PA-C | |
417 Sw 117th Ave Ste 200, Portland, OR 97225-5924 | |
(503) 216-9400 | |
Not Available |
Full Name | Vanessa Landis |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 3 Years |
Location | 417 Sw 117th Ave Ste 200, Portland, 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 |
---|---|---|---|
1114548997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA205599 (Oregon) | Primary |
363AM0700X | Physician Assistant - Medical | PA205599 (Oregon) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Vincent Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Mailing Address | Practice Location Address |
---|---|
Vanessa Landis, PA-C Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Vanessa Landis, PA-C 417 Sw 117th Ave Ste 200, Portland, OR 97225-5924 Ph: (503) 216-9400 |
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