| Crm Physicians, Llc | |
|
6800 Sw 105th Ave Ste 206 Beaverton OR 97008-5487 | |
| (503) 351-3505 | |
| (503) 372-5119 |
| Full Name | Crm Physicians, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6800 Sw 105th Ave Ste 206, Beaverton, Oregon |
| Authorized Official Name and Position | Christopher Roderick Morris (MANAGER) |
| Authorized Official Contact | 5033513505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crm Physicians, Llc 6800 Sw 105th Ave Ste 206 Beaverton OR 97008-5487 Ph: (503) 351-3505 | Crm Physicians, Llc 6800 Sw 105th Ave Ste 206 Beaverton OR 97008-5487 Ph: (503) 351-3505 |
| NPI Number | 1952674996 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 04/06/2023 |
| Medicare PECOS PAC ID | 3678720729 |
|---|---|
| Medicare Enrollment ID | O20120824000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952674996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD27808 (Oregon) | Primary |
| Provider Name | Anne C Heenan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356327605 PECOS PAC ID: 3779479738 Enrollment ID: I20040225001215 |
| Provider Name | Paul T Armerding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881635613 PECOS PAC ID: 0042296030 Enrollment ID: I20040629001000 |
| Provider Name | Richard K Kimani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417951849 PECOS PAC ID: 6305896820 Enrollment ID: I20050124000144 |
| Provider Name | Beth A Leone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134232515 PECOS PAC ID: 7214976372 Enrollment ID: I20050427001389 |
| Provider Name | Sumathi Devarajan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992874267 PECOS PAC ID: 3072554500 Enrollment ID: I20050516000381 |
| Provider Name | Merrill G Harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114956422 PECOS PAC ID: 3274550371 Enrollment ID: I20051027001172 |
| Provider Name | Kirsten Carr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225054646 PECOS PAC ID: 2567467152 Enrollment ID: I20061004000164 |
| Provider Name | Sanjiv Manharlal Panwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023047321 PECOS PAC ID: 9739282823 Enrollment ID: I20070309000367 |
| Provider Name | Leandra J Gambee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356414478 PECOS PAC ID: 2163424441 Enrollment ID: I20070425000502 |
| Provider Name | Cynthia A Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912090895 PECOS PAC ID: 8527045137 Enrollment ID: I20070507000435 |
| Provider Name | Sarah E Dunham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043384159 PECOS PAC ID: 0345340121 Enrollment ID: I20070709000432 |
| Provider Name | Derek Norcom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326087263 PECOS PAC ID: 3375586860 Enrollment ID: I20070913000402 |
| Provider Name | Christopher R Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699960369 PECOS PAC ID: 8921194143 Enrollment ID: I20071019000242 |
| Provider Name | Emilia Bazan-grow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902835275 PECOS PAC ID: 4183621311 Enrollment ID: I20080805000444 |
| Provider Name | Kathleen P Maynez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902835838 PECOS PAC ID: 7416034137 Enrollment ID: I20090921000292 |
| Provider Name | Dawnrenee Cinocco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851596837 PECOS PAC ID: 5597800094 Enrollment ID: I20100309000319 |
| Provider Name | Samuel Suk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518028976 PECOS PAC ID: 8628109055 Enrollment ID: I20100629000918 |
| Provider Name | Swapna Chennareddygari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558565150 PECOS PAC ID: 7416000385 Enrollment ID: I20101126000012 |
| Provider Name | Nita Vellody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912101338 PECOS PAC ID: 9032305461 Enrollment ID: I20101126000014 |
| Provider Name | Shalini Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184885865 PECOS PAC ID: 5991978116 Enrollment ID: I20111104000070 |
| Provider Name | Lohith V Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043442007 PECOS PAC ID: 0840447967 Enrollment ID: I20120824000427 |
| Provider Name | Stacey W Melnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235572744 PECOS PAC ID: 7416181623 Enrollment ID: I20131001000383 |
| Provider Name | Elizabeth A Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467781062 PECOS PAC ID: 5193907657 Enrollment ID: I20131025000131 |
| Provider Name | Xin Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407160260 PECOS PAC ID: 9032345442 Enrollment ID: I20131113000866 |
| Provider Name | Julianne Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124119359 PECOS PAC ID: 3678745155 Enrollment ID: I20131119000427 |
| Provider Name | Donald L Bons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073946711 PECOS PAC ID: 1951525880 Enrollment ID: I20140617000504 |
| Provider Name | Vitus N Nwaele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750669917 PECOS PAC ID: 9830327543 Enrollment ID: I20141001000055 |
| Provider Name | Christina Oliver |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1386953115 PECOS PAC ID: 2567617491 Enrollment ID: I20150115001080 |
| Provider Name | Kemble Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205292703 PECOS PAC ID: 5597062398 Enrollment ID: I20160322001731 |
| Provider Name | Paula K Mantei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922462514 PECOS PAC ID: 1759670789 Enrollment ID: I20160608000797 |
| Provider Name | Wendy J Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558771683 PECOS PAC ID: 7517258551 Enrollment ID: I20160621002813 |
| Provider Name | Stephanie Patricia Romo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265982326 PECOS PAC ID: 7214217355 Enrollment ID: I20161207002606 |
| Provider Name | Heather D Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053708545 PECOS PAC ID: 7719287358 Enrollment ID: I20170418000246 |
| Provider Name | Nicole F Best |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457880668 PECOS PAC ID: 5597035964 Enrollment ID: I20170718000040 |
| Provider Name | Kristie L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457876633 PECOS PAC ID: 5395847602 Enrollment ID: I20170913003787 |
| Provider Name | Sarah M Bereznai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679086938 PECOS PAC ID: 0345509865 Enrollment ID: I20180109000456 |
| Provider Name | Mark W Cheng |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871899740 PECOS PAC ID: 4284867995 Enrollment ID: I20180410002924 |
| Provider Name | Lana Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386010957 PECOS PAC ID: 2668763186 Enrollment ID: I20180605001685 |
| Provider Name | Daniel E Roa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801266119 PECOS PAC ID: 1951665918 Enrollment ID: I20180711001954 |
| Provider Name | Leila August |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114916095 PECOS PAC ID: 3870502107 Enrollment ID: I20190102002330 |
| Provider Name | Tomoaki Honda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760852925 PECOS PAC ID: 4082957642 Enrollment ID: I20190522001530 |
| Provider Name | Jennifer J O'donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568919694 PECOS PAC ID: 9931432457 Enrollment ID: I20190614000574 |
| Provider Name | Heather Brianna Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205383890 PECOS PAC ID: 7517248958 Enrollment ID: I20190816001826 |
| Provider Name | Gwen R Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558812867 PECOS PAC ID: 2567743925 Enrollment ID: I20191209002509 |
| Provider Name | Edwin Kyunghun Kwon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487097846 PECOS PAC ID: 0648562801 Enrollment ID: I20191211000051 |
| Provider Name | David Brandenburg Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396272894 PECOS PAC ID: 9133559842 Enrollment ID: I20200421001294 |
| Provider Name | Natalie Polzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295302149 PECOS PAC ID: 0648672295 Enrollment ID: I20210706001777 |
| Provider Name | Stephanie M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437648946 PECOS PAC ID: 4284046699 Enrollment ID: I20220420001739 |
| Provider Name | Darya Balanetskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457012791 PECOS PAC ID: 7113301870 Enrollment ID: I20220829003357 |
| Provider Name | Jordan J Nagle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982012324 PECOS PAC ID: 7113225020 Enrollment ID: I20220926002592 |
| Provider Name | Gabrielle A Bosworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437618691 PECOS PAC ID: 5597183814 Enrollment ID: I20230921002472 |
| Provider Name | Pawandeep Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689266785 PECOS PAC ID: 6406228881 Enrollment ID: I20240129002088 |
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