Asher Clinic | |
712 Jay St. Fossil OR 97830-0307 | |
(541) 763-2725 | |
(541) 763-2850 |
Full Name | Asher Clinic |
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Speciality | Clinic/Center |
Location | 712 Jay St., Fossil, Oregon |
Authorized Official Name and Position | James Ivan Carlson (ADMINISTRATOR) |
Authorized Official Contact | 5417632725 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Asher Clinic Po Box 307 Fossil OR 97830-0307 Ph: (541) 763-2725 | Asher Clinic 712 Jay St. Fossil OR 97830-0307 Ph: (541) 763-2725 |
NPI Number | 1811937485 |
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Provider Enumeration Date | 06/08/2006 |
Last Update Date | 09/26/2023 |
Medicare PECOS PAC ID | 2163460726 |
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Medicare Enrollment ID | O20070608000181 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811937485 | NPI | - | NPPES |
276319 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Stephanie Oconnor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720060353 PECOS PAC ID: 5496717894 Enrollment ID: I20050228000718 |
Provider Name | Robert J Boss |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013900646 PECOS PAC ID: 7214846963 Enrollment ID: I20051012000117 |
Provider Name | John K Ross |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740352996 PECOS PAC ID: 9931209533 Enrollment ID: I20070711000909 |
Provider Name | James Edwards |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376705897 PECOS PAC ID: 6800937624 Enrollment ID: I20091230000470 |
Provider Name | Denise Lee Griffiths |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639450471 PECOS PAC ID: 0648499046 Enrollment ID: I20140917001650 |
Provider Name | Pamela E Namenyi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013164771 PECOS PAC ID: 2860640802 Enrollment ID: I20150430000677 |
Provider Name | Susan Blanche Gross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245536432 PECOS PAC ID: 2567780976 Enrollment ID: I20170331000658 |
Provider Name | Stephanie Naas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891001897 PECOS PAC ID: 4082809660 Enrollment ID: I20210105002375 |
Provider Name | Hanorah B Mcdonald |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730765579 PECOS PAC ID: 3375951502 Enrollment ID: I20210427003141 |
Provider Name | Monique M Moya |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548591258 PECOS PAC ID: 3577952977 Enrollment ID: I20211104002714 |
Provider Name | Silvia R Navarrete |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710418025 PECOS PAC ID: 2769752153 Enrollment ID: I20220119002586 |
Provider Name | Brian Schaudt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053059006 PECOS PAC ID: 9537540737 Enrollment ID: I20220719003632 |
Provider Name | Lanesha Bracy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447590385 PECOS PAC ID: 8426299025 Enrollment ID: I20221202001162 |
Provider Name | Irina Rachel Vesolowski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811775976 PECOS PAC ID: 7416304498 Enrollment ID: I20231113003044 |
Provider Name | Courtney Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083368799 PECOS PAC ID: 6406294800 Enrollment ID: I20240404001465 |
Achc-christmas Valley Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 Jay St, Fossil, OR 97830 Phone: 541-763-2725 Fax: 833-601-2016 | |
Asher Clinic Spray Field Office Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 712 Jay St, Fossil, OR 97830 Phone: 541-763-2725 Fax: 541-763-2850 | |
Mitchell School - Field Office Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 712 Jay St, Fossil, OR 97830 Phone: 541-763-2725 Fax: 541-763-2850 |