Whitney Renee Ault, NP-C | |
2735 Ne 82nd Ave, Portland, OR 97220-5304 | |
(503) 988-3382 | |
Not Available |
Full Name | Whitney Renee Ault |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2735 Ne 82nd Ave, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649674961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 201405789NP-PP (Oregon) | Primary |
Entity Name | Multnomah County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609914787 PECOS PAC ID: 6608771787 Enrollment ID: O20031203000025 |
Entity Name | Pearl Health Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104918275 PECOS PAC ID: 0143287243 Enrollment ID: O20041209001096 |
Mailing Address | Practice Location Address |
---|---|
Whitney Renee Ault, NP-C 619 Nw 6th Ave Fl 5, Portland, OR 97209-3964 Ph: (503) 988-7468 | Whitney Renee Ault, NP-C 2735 Ne 82nd Ave, Portland, OR 97220-5304 Ph: (503) 988-3382 |
Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988 | |
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555 | |
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808 | |
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575 | |
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090 | |
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210 Phone: 971-354-9242 | |
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700 |