| Go To Ortho Llc | |
|
2695 Sw Cedar Hills Blvd Ste 140 Beaverton OR 97005-1415 | |
| (503) 850-9950 | |
| (877) 533-6717 |
| Full Name | Go To Ortho Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2695 Sw Cedar Hills Blvd Ste 140, Beaverton, Oregon |
| Authorized Official Name and Position | Cristal Lozano (SITE DIRECTOR) |
| Authorized Official Contact | 5038509950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Go To Ortho Llc 2695 Sw Cedar Hills Blvd # G140 Beaverton OR 97005-1392 Ph: (503) 850-9950 | Go To Ortho Llc 2695 Sw Cedar Hills Blvd Ste 140 Beaverton OR 97005-1415 Ph: (503) 850-9950 |
| NPI Number | 1083206155 |
|---|---|
| Provider Enumeration Date | 02/09/2021 |
| Last Update Date | 06/16/2021 |
| Medicare PECOS PAC ID | 9537575543 |
|---|---|
| Medicare Enrollment ID | O20210316002328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083206155 | NPI | - | NPPES |
| Provider Name | Sandra B Ruff |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760466189 PECOS PAC ID: 1557307477 Enrollment ID: I20120105000040 |
| Provider Name | Jack S Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205400702 PECOS PAC ID: 7012318561 Enrollment ID: I20210622002376 |
| Provider Name | Caitlin A Simons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427725415 PECOS PAC ID: 1951707363 Enrollment ID: I20210910000802 |
| Provider Name | Ty A Bommersbach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346785326 PECOS PAC ID: 7012299209 Enrollment ID: I20211117003086 |
| Provider Name | Brittany Marie Schnelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629715578 PECOS PAC ID: 5496130395 Enrollment ID: I20220913002778 |
| Provider Name | Brocha Glancz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770938995 PECOS PAC ID: 2062779556 Enrollment ID: I20221107000002 |
| Provider Name | Jacquelyn Kristen Trujillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710622840 PECOS PAC ID: 1153791041 Enrollment ID: I20230111000491 |
| Provider Name | Amanda Magdalena Kinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013602473 PECOS PAC ID: 1850758749 Enrollment ID: I20230608000849 |
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