| Hilltop Behavioral Health Clinic | |
|
150 Beavercreek Rd Oregon City OR 97045-4302 | |
| (503) 655-8401 | |
| (503) 655-8429 |
| Full Name | Hilltop Behavioral Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 Beavercreek Rd, Oregon City, Oregon |
| Authorized Official Name and Position | Sarah Jacobson (DIRECTOR INTERIM) |
| Authorized Official Contact | 5032011890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hilltop Behavioral Health Clinic 2051 Kaen Rd Suite 367 Oregon City OR 97045-4035 Ph: (503) 742-5300 | Hilltop Behavioral Health Clinic 150 Beavercreek Rd Oregon City OR 97045-4302 Ph: (503) 655-8401 |
| NPI Number | 1841443587 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 12/01/2022 |
| Medicare PECOS PAC ID | 9537065560 |
|---|---|
| Medicare Enrollment ID | O20031210000827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841443587 | NPI | - | NPPES |
| 022710 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Matthew P Azar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033207949 PECOS PAC ID: 0345231122 Enrollment ID: I20040520000692 |
| Provider Name | John C Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992744056 PECOS PAC ID: 6204893373 Enrollment ID: I20041210000480 |
| Provider Name | Julie A Passon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780730119 PECOS PAC ID: 4082663281 Enrollment ID: I20050114000152 |
| Provider Name | Michael S Rappaport |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609967082 PECOS PAC ID: 6800847419 Enrollment ID: I20050201000452 |
| Provider Name | Tracy Garell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093123887 PECOS PAC ID: 4385696228 Enrollment ID: I20050218000283 |
| Provider Name | Michael E Robinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588764666 PECOS PAC ID: 5890749675 Enrollment ID: I20050303001026 |
| Provider Name | Karen G Hedden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255308383 PECOS PAC ID: 8729033188 Enrollment ID: I20050317001068 |
| Provider Name | Maria V Prokhorova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114021342 PECOS PAC ID: 8022040310 Enrollment ID: I20050907001131 |
| Provider Name | Donald D Saint Just |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457430456 PECOS PAC ID: 0042228421 Enrollment ID: I20060327000430 |
| Provider Name | Elisa A Engbretson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356396733 PECOS PAC ID: 5991708018 Enrollment ID: I20060810000293 |
| Provider Name | Jonathan P Ayers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700941150 PECOS PAC ID: 7810094141 Enrollment ID: I20070522000451 |
| Provider Name | Lisa C Sullivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841380375 PECOS PAC ID: 1658463245 Enrollment ID: I20070828000310 |
| Provider Name | Paul K Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134327075 PECOS PAC ID: 6002992948 Enrollment ID: I20080318000626 |
| Provider Name | Leah B Wessenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023200821 PECOS PAC ID: 5597831511 Enrollment ID: I20080827000456 |
| Provider Name | Erik D Geissal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982895819 PECOS PAC ID: 1254491087 Enrollment ID: I20081124000163 |
| Provider Name | Helen R Ware |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669519484 PECOS PAC ID: 7911052980 Enrollment ID: I20090827000659 |
| Provider Name | Kim A Wennhold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053331926 PECOS PAC ID: 7810042447 Enrollment ID: I20090903000659 |
| Provider Name | Kim T Pengelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538136668 PECOS PAC ID: 0446305783 Enrollment ID: I20090909000787 |
| Provider Name | Mary F Conedera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942433933 PECOS PAC ID: 6406991140 Enrollment ID: I20100304000955 |
| Provider Name | Mary K Ruth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326085846 PECOS PAC ID: 6507901097 Enrollment ID: I20100309000239 |
| Provider Name | Kim Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578585501 PECOS PAC ID: 1759387319 Enrollment ID: I20100415000294 |
| Provider Name | Mark B Harshfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073796751 PECOS PAC ID: 2365568524 Enrollment ID: I20100924000431 |
| Provider Name | Heather L Whetstone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770788176 PECOS PAC ID: 3173715091 Enrollment ID: I20101011001147 |
| Provider Name | Sarah Dalen Present |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720293707 PECOS PAC ID: 7012190085 Enrollment ID: I20110329000452 |
| Provider Name | Jennifer A Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376799924 PECOS PAC ID: 1557536950 Enrollment ID: I20111214000206 |
| Provider Name | Calandre Danielle Collette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750417366 PECOS PAC ID: 3274790845 Enrollment ID: I20120209000280 |
| Provider Name | Candia M Hills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902944655 PECOS PAC ID: 5698934263 Enrollment ID: I20120319000079 |
| Provider Name | Alex Michael Pandzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770716763 PECOS PAC ID: 7315107935 Enrollment ID: I20120319000797 |
| Provider Name | Jessica Marie Glover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295007243 PECOS PAC ID: 3779743513 Enrollment ID: I20120402000227 |
| Provider Name | Rowan G Casey-ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215162235 PECOS PAC ID: 5496902306 Enrollment ID: I20120829000102 |
| Provider Name | Jennifer Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427289511 PECOS PAC ID: 3375794720 Enrollment ID: I20121112000180 |
| Provider Name | Simon F Austin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164619466 PECOS PAC ID: 0941455984 Enrollment ID: I20130225000136 |
| Provider Name | Margaret J. Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104164805 PECOS PAC ID: 5193970515 Enrollment ID: I20130308000308 |
| Provider Name | Emily M Ketola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003141672 PECOS PAC ID: 4688810575 Enrollment ID: I20130419000343 |
| Provider Name | Stephanie N Gregory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861785800 PECOS PAC ID: 6709023054 Enrollment ID: I20130506000500 |
| Provider Name | Hazel J Whitman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245557925 PECOS PAC ID: 8628218278 Enrollment ID: I20130703000147 |
| Provider Name | Tracy L Shadle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932541794 PECOS PAC ID: 1658513361 Enrollment ID: I20130808000778 |
| Provider Name | Miranda L. Foust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386812329 PECOS PAC ID: 0446485718 Enrollment ID: I20131023001332 |
| Provider Name | Andrew G Suchocki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780804401 PECOS PAC ID: 9032256979 Enrollment ID: I20140424002124 |
| Provider Name | Christopher J Robb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104013259 PECOS PAC ID: 1951497973 Enrollment ID: I20140912000995 |
| Provider Name | Shana K Peyser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801117775 PECOS PAC ID: 0648598078 Enrollment ID: I20150416000068 |
| Provider Name | Kathryn Ann Whipple |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093981169 PECOS PAC ID: 0446579627 Enrollment ID: I20150511001214 |
| Provider Name | Jennifer King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619267465 PECOS PAC ID: 2264656792 Enrollment ID: I20150520002458 |
| Provider Name | Jing Wei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093114373 PECOS PAC ID: 0446564884 Enrollment ID: I20150729010441 |
| Provider Name | Nicole Kathryn Webber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235569278 PECOS PAC ID: 4880901867 Enrollment ID: I20150923003263 |
| Provider Name | Sarah Beth Powers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861629586 PECOS PAC ID: 8527361856 Enrollment ID: I20160120002848 |
| Provider Name | Angela Estep Amundson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366886293 PECOS PAC ID: 8123322831 Enrollment ID: I20160201000753 |
| Provider Name | Nick Paul Jacoby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609008853 PECOS PAC ID: 1658677430 Enrollment ID: I20160303001426 |
| Provider Name | Darling Maria Mendoza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174868301 PECOS PAC ID: 1153628656 Enrollment ID: I20160329001110 |
| Provider Name | Dustin Jl Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144377557 PECOS PAC ID: 8022172329 Enrollment ID: I20160330000714 |
| Provider Name | Andrea L Gore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174687537 PECOS PAC ID: 2668779927 Enrollment ID: I20160331000920 |
| Provider Name | Jacqueline Curry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215209200 PECOS PAC ID: 9638460132 Enrollment ID: I20160613002226 |
| Provider Name | Konrad Aloysious Von Walther |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356606537 PECOS PAC ID: 9436440302 Enrollment ID: I20160623001414 |
| Provider Name | Richard Rademacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720375421 PECOS PAC ID: 6709178114 Enrollment ID: I20160705002068 |
| Provider Name | Katherine Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447528583 PECOS PAC ID: 1052603198 Enrollment ID: I20160709000015 |
| Provider Name | Mohini B Shukla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154506541 PECOS PAC ID: 5092797654 Enrollment ID: I20160714000139 |
| Provider Name | Susan De Tarr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104006725 PECOS PAC ID: 3173750411 Enrollment ID: I20160727001117 |
| Provider Name | Karen Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093155095 PECOS PAC ID: 6507162443 Enrollment ID: I20161003001045 |
| Provider Name | Leah B Baruch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407292592 PECOS PAC ID: 3577883701 Enrollment ID: I20161031002606 |
| Provider Name | Jerald Block |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598891319 PECOS PAC ID: 0446530141 Enrollment ID: I20161215002342 |
| Provider Name | Alisa Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588953434 PECOS PAC ID: 1759647100 Enrollment ID: I20171117001342 |
| Provider Name | Diana Latorre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679755094 PECOS PAC ID: 5991062838 Enrollment ID: I20171130000900 |
| Provider Name | Rhonda Gregory Mcmillian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902956196 PECOS PAC ID: 9537152418 Enrollment ID: I20180117002124 |
| Provider Name | Suzanne Lapidus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043551484 PECOS PAC ID: 3375803729 Enrollment ID: I20180205001663 |
| Provider Name | Catherine Ross Caruso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841605664 PECOS PAC ID: 3375807027 Enrollment ID: I20180503001962 |
| Provider Name | Maret Pfohman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821585407 PECOS PAC ID: 8022364843 Enrollment ID: I20180710001989 |
| Provider Name | Rebecca Leineweber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174007181 PECOS PAC ID: 8729331095 Enrollment ID: I20181102001936 |
| Provider Name | Jennifer K Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073051736 PECOS PAC ID: 6709130693 Enrollment ID: I20181113000077 |
| Provider Name | Karen Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568930428 PECOS PAC ID: 0042558736 Enrollment ID: I20190204003038 |
| Provider Name | Chloe Pete |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326423294 PECOS PAC ID: 8729328109 Enrollment ID: I20190321001128 |
| Provider Name | Allyson C Clemmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235456435 PECOS PAC ID: 7113269838 Enrollment ID: I20190430000626 |
| Provider Name | Victoria Marie Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669805875 PECOS PAC ID: 1052645280 Enrollment ID: I20190621002637 |
| Provider Name | Mary E Leone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033689153 PECOS PAC ID: 3779819917 Enrollment ID: I20190725003640 |
| Provider Name | Jacob Reese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346612652 PECOS PAC ID: 7113253089 Enrollment ID: I20190730003288 |
| Provider Name | Berenice Mendoza Cabello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437555091 PECOS PAC ID: 7911234893 Enrollment ID: I20190815001019 |
| Provider Name | Melanie Bertenelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013364728 PECOS PAC ID: 4587958350 Enrollment ID: I20190926002808 |
| Provider Name | Stephanie Nickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023460946 PECOS PAC ID: 7012248008 Enrollment ID: I20191004002084 |
| Provider Name | Kawa Chin Kuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588040729 PECOS PAC ID: 7719218957 Enrollment ID: I20191018002048 |
| Provider Name | Annette Gandy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811431240 PECOS PAC ID: 5890129787 Enrollment ID: I20191231001924 |
| Provider Name | Sara Van Den Heuvel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619453719 PECOS PAC ID: 9335573070 Enrollment ID: I20200106000619 |
| Provider Name | Ramiro Romo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326396094 PECOS PAC ID: 7416211222 Enrollment ID: I20200107001161 |
| Provider Name | Veronica Lee Gentle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619006111 PECOS PAC ID: 6507297421 Enrollment ID: I20200511000031 |
| Provider Name | Vanessa Abigail Servellon-marenco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811418353 PECOS PAC ID: 1850712498 Enrollment ID: I20200605002040 |
| Provider Name | Jennifer Riccitelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437692456 PECOS PAC ID: 6709298516 Enrollment ID: I20201221001532 |
| Provider Name | June Stinson Mobley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922149699 PECOS PAC ID: 6507275039 Enrollment ID: I20210512002420 |
| Provider Name | Mia Christine Vieira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437573029 PECOS PAC ID: 8325457625 Enrollment ID: I20210517000541 |
| Provider Name | Lillian Catherine Hankins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689198319 PECOS PAC ID: 2466851563 Enrollment ID: I20210521001295 |
| Provider Name | Teri L Jarmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588862437 PECOS PAC ID: 6507261518 Enrollment ID: I20210827003041 |
| Provider Name | Scarlett Kettwich |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881212488 PECOS PAC ID: 1951709211 Enrollment ID: I20211018001618 |
| Provider Name | Bailey Kristine Udy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023680212 PECOS PAC ID: 1456740976 Enrollment ID: I20211122001895 |
| Provider Name | Ashley Slocki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871834044 PECOS PAC ID: 9133514433 Enrollment ID: I20220324000082 |
| Provider Name | Cindy Saucedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043645294 PECOS PAC ID: 2365838976 Enrollment ID: I20220407002173 |
| Provider Name | Tina Joy Sellers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134503253 PECOS PAC ID: 2062809114 Enrollment ID: I20220420001886 |
| Provider Name | Grace Elaine Schroeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013449271 PECOS PAC ID: 4082093844 Enrollment ID: I20220624000980 |
| Provider Name | Marvin Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346569878 PECOS PAC ID: 6406222587 Enrollment ID: I20221013003249 |
| Provider Name | Aubrey M Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083103287 PECOS PAC ID: 1254687957 Enrollment ID: I20221129000842 |
| Provider Name | Heidi Feight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356897318 PECOS PAC ID: 0648648295 Enrollment ID: I20221201002489 |
| Provider Name | Hillary Burton Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154872695 PECOS PAC ID: 6709256357 Enrollment ID: I20221223001105 |
| Provider Name | Dario J Lapoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215536602 PECOS PAC ID: 0547615015 Enrollment ID: I20231018003550 |
| Provider Name | Nicholad Kintigh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154714020 PECOS PAC ID: 8729436761 Enrollment ID: I20231130002796 |
| Provider Name | Jennifer Michelle Roholt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942613112 PECOS PAC ID: 3274984216 Enrollment ID: I20240104000225 |
| Provider Name | Oana Mihaela Pieretti |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912318767 PECOS PAC ID: 5496106213 Enrollment ID: I20240105002280 |
| Provider Name | Sarah Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164855193 PECOS PAC ID: 1153772397 Enrollment ID: I20240111003356 |
| Provider Name | Batinah A.r. Dawdy White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023316841 PECOS PAC ID: 9638521701 Enrollment ID: I20240115001291 |
| Provider Name | Rigoberto Ramon Contreras |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598027120 PECOS PAC ID: 7113379033 Enrollment ID: I20240116004354 |
| Provider Name | Emily Elizabeth Schmidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306141932 PECOS PAC ID: 1658723515 Enrollment ID: I20240117001198 |
| Provider Name | Jennifer Rees |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871084343 PECOS PAC ID: 8224480066 Enrollment ID: I20240117003900 |
| Provider Name | Michael Joseph Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902441959 PECOS PAC ID: 2365895570 Enrollment ID: I20240124001348 |
Oregon City Family Practice Clinic,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1420 John Adams St, Oregon City, OR 97045 Phone: 503-656-1484 Fax: 503-650-1976 | |
24 On Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Division St, Oregon City, OR 97045 Phone: 503-656-1631 | |
Samuel Sabo Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18171 Waldow Rd, Oregon City, OR 97045 Phone: 503-655-6044 Fax: 503-575-9171 | |
Pmg/oregon City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 Division St Ste 200, Oregon City, OR 97045 Phone: 503-650-6880 Fax: 503-650-6888 | |
Gastroenterology Specialists Of Oregon Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 Division St, Suite 15, Oregon City, OR 97045 Phone: 503-657-5555 Fax: 503-657-6502 | |
Providence Medical Group Oregon City Spine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 Division St, Ste 170, Oregon City, OR 97045 Phone: 503-650-6288 Fax: 503-650-6884 | |
Oregon City Wellness & Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1230 Division St, Oregon City, OR 97045 Phone: 503-655-5327 Fax: 503-722-4499 |