Legacy Meridian Park Hospital - Medicare Primary Care in Tualatin, OR

Legacy Meridian Park Hospital is a medicare enrolled primary clinic (General Acute Care Hospital) in Tualatin, Oregon. The current practice location for Legacy Meridian Park Hospital is 19300 Sw 65th Ave, Tualatin, Oregon. For appointments, you can reach them via phone at (503) 692-1212. The mailing address for Legacy Meridian Park Hospital is Po Box 4037, Portland, Oregon and phone number is (503) 413-2017.

Legacy Meridian Park Hospital is licensed to practice in Oregon (license number 14-1336). The clinic also participates in the medicare program and its NPI number is 1184647620. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 692-1212.

Contact Information

Legacy Meridian Park Hospital
19300 Sw 65th Ave
Tualatin
OR 97062-7706
(503) 692-1212
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameLegacy Meridian Park Hospital
SpecialityGeneral Acute Care Hospital
Location19300 Sw 65th Ave, Tualatin, Oregon
Authorized Official Name and PositionSarah Jensen (INTERIM CFO)
Authorized Official Contact5034155145
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Legacy Meridian Park Hospital
Po Box 4037
Portland
OR 97208-4037

Ph: (503) 413-2017
Legacy Meridian Park Hospital
19300 Sw 65th Ave
Tualatin
OR 97062-7706

Ph: (503) 692-1212

NPI Details:

NPI Number1184647620
Provider Enumeration Date07/25/2006
Last Update Date02/27/2018

Medicare PECOS Information:

Medicare PECOS PAC ID5092609842
Medicare Enrollment IDO20040211001181

Medical Identifiers

Medical identifiers for Legacy Meridian Park Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184647620NPI-NPPES
HS691IPMedicaidAK
XHSP30260MedicaidCA
XHSP40260MedicaidCA
138008900OtherORREGENCE BLUE CROSS
33766MedicaidID
3018504MedicaidWA
122499MedicaidOR
HS691OPMedicaidAK
234454MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Secondary
261Q00000XClinic/center (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Secondary
282N00000XGeneral Acute Care Hospital 14-1336 (Oregon)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Legacy Meridian Park Hospital acts as a billing entity for following providers:
Provider NameSamuel S M Lau
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1811995087
PECOS PAC ID: 9931012226
Enrollment ID: I20031112000210
Provider NameJohn Andrew Kaufman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1992711584
PECOS PAC ID: 0446152763
Enrollment ID: I20040126000497
Provider NameDavid S Peizner
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1245235233
PECOS PAC ID: 0042104051
Enrollment ID: I20040211000246
Provider NameKevin G Semonsen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1629010087
PECOS PAC ID: 7416859848
Enrollment ID: I20040216000696
Provider NameDaniel Urbach
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952386377
PECOS PAC ID: 2769371012
Enrollment ID: I20040313000554
Provider NameRamnik S Jhooty
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1548265457
PECOS PAC ID: 8628968971
Enrollment ID: I20040318001470
Provider NameElizabeth R Sammond
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437127347
PECOS PAC ID: 8820081334
Enrollment ID: I20040408000164
Provider NameKenneth L Rhoads
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1912904103
PECOS PAC ID: 1456348150
Enrollment ID: I20040426001639
Provider NameDaniela B Samoil
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1891750329
PECOS PAC ID: 2567364631
Enrollment ID: I20040430000138
Provider NameKaren Joan Wesenberg
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1811980998
PECOS PAC ID: 0042209744
Enrollment ID: I20040508000015
Provider NameEli A Rosenthal
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1356346399
PECOS PAC ID: 3274515853
Enrollment ID: I20040607000603
Provider NameAmanda S Gay
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912937723
PECOS PAC ID: 0648239012
Enrollment ID: I20041011000265
Provider NameBenjamin L Brody
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245243799
PECOS PAC ID: 7517925472
Enrollment ID: I20041222000662
Provider NameKar Yee Wu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861418832
PECOS PAC ID: 0547201063
Enrollment ID: I20050516000292
Provider NameAndrew D Glass
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437103223
PECOS PAC ID: 9537192083
Enrollment ID: I20050914001278
Provider NameBradley H Evans
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1568464261
PECOS PAC ID: 6103724604
Enrollment ID: I20051020001106
Provider NamePulla Reddy
Provider TypePractitioner - Advanced Heart Failure And Transplant Cardiology
Provider IdentifiersNPI Number: 1437167962
PECOS PAC ID: 3870577497
Enrollment ID: I20051114000999
Provider NamePompy Z Goswami
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740216472
PECOS PAC ID: 0244251130
Enrollment ID: I20051207000416
Provider NameMichael P Jaczko
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487647954
PECOS PAC ID: 8921029653
Enrollment ID: I20051209000360
Provider NameSrividya Venigalla
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104887595
PECOS PAC ID: 4880617877
Enrollment ID: I20060104001026
Provider NamePeter Frederick Banitt
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1831194737
PECOS PAC ID: 2668488008
Enrollment ID: I20060222000726
Provider NameNaji M Hamdan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1679570873
PECOS PAC ID: 2163438227
Enrollment ID: I20060227000362
Provider NameManish Mehta
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1750310173
PECOS PAC ID: 8921002593
Enrollment ID: I20060913000261
Provider NameJane E Schuster
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1619989431
PECOS PAC ID: 7517965387
Enrollment ID: I20061110000292
Provider NameKristin M Linzmeyer
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1932200524
PECOS PAC ID: 6608875919
Enrollment ID: I20061214000458
Provider NameJanet C West
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447299284
PECOS PAC ID: 0143237628
Enrollment ID: I20070118000608
Provider NameJudith Angela Nigro
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1760566368
PECOS PAC ID: 7416955935
Enrollment ID: I20070126000242
Provider NameJanel R Guyette
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205990660
PECOS PAC ID: 7214994565
Enrollment ID: I20070327000380
Provider NameVandy L Sherbin
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1083711857
PECOS PAC ID: 1052410644
Enrollment ID: I20070622000109
Provider NameSteven L Grund
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1851420863
PECOS PAC ID: 4385744606
Enrollment ID: I20070716000117
Provider NameDiana K Boss
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023239407
PECOS PAC ID: 5597866269
Enrollment ID: I20070725000094
Provider NameDaniel S Isenbarger
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1780765941
PECOS PAC ID: 4284728528
Enrollment ID: I20070918000477
Provider NameCharles M Wood
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902961907
PECOS PAC ID: 0244333607
Enrollment ID: I20071210000253
Provider NameHolly I Tse
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912089947
PECOS PAC ID: 9234219304
Enrollment ID: I20071231000569
Provider NameLeslie Root
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831167907
PECOS PAC ID: 2163591520
Enrollment ID: I20080527000577
Provider NameCatherine J Markin
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1285731059
PECOS PAC ID: 9032288402
Enrollment ID: I20080527000609
Provider NamePaula Gerber-gore
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1518156504
PECOS PAC ID: 0143392464
Enrollment ID: I20080702000197
Provider NameRobert Quintos
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1750324653
PECOS PAC ID: 5890737886
Enrollment ID: I20080710000300
Provider NameJohn M Dempster
Provider TypePractitioner - Other (physician)
Provider IdentifiersNPI Number: 1386854974
PECOS PAC ID: 8820161375
Enrollment ID: I20080717000209
Provider NameJeanne H Button
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1427002187
PECOS PAC ID: 7113939083
Enrollment ID: I20080730000231
Provider NameJeffrey Martin Bluhm
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1730125022
PECOS PAC ID: 9133151525
Enrollment ID: I20080813000445
Provider NameKarl Nicholas Kaluza
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1760431175
PECOS PAC ID: 2668433921
Enrollment ID: I20080925000480
Provider NameGail A Moses
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841259389
PECOS PAC ID: 5597774513
Enrollment ID: I20081010000101
Provider NameDavid R Peter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821189309
PECOS PAC ID: 1658457403
Enrollment ID: I20081229000630
Provider NameCarl Anthony Riddick
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1093751372
PECOS PAC ID: 8224060629
Enrollment ID: I20090120000501
Provider NameRebecca G Hills
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942259833
PECOS PAC ID: 6800950593
Enrollment ID: I20090123000528
Provider NameReza Antoszewska
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770645251
PECOS PAC ID: 7618984634
Enrollment ID: I20090423000770
Provider NameRobert Dong Kim
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1780620096
PECOS PAC ID: 5597783738
Enrollment ID: I20090924000569
Provider NameSandeep Garg
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1316942238
PECOS PAC ID: 5991874125
Enrollment ID: I20091222000746
Provider NameShawn Timothy Patrick
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1699769786
PECOS PAC ID: 1254466733
Enrollment ID: I20100323000531
Provider NameDavid Edward Wu
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1063404739
PECOS PAC ID: 1658451299
Enrollment ID: I20100323000643
Provider NameSuzanne Migchelbrink
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174592190
PECOS PAC ID: 7113053836
Enrollment ID: I20100331001058
Provider NameJohn Thomas Forsythe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134188386
PECOS PAC ID: 3173659802
Enrollment ID: I20100331001114
Provider NameJay P Brown
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306874037
PECOS PAC ID: 0446387716
Enrollment ID: I20100416000719
Provider NameJennifer K. Lawlor
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1639156375
PECOS PAC ID: 8022045814
Enrollment ID: I20100812000868
Provider NameBrian M Bedolla
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649205808
PECOS PAC ID: 4880644004
Enrollment ID: I20100814000260
Provider NameAnne Juliana Lockman
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1871708529
PECOS PAC ID: 8224162094
Enrollment ID: I20100816000410
Provider NameKelly F Scott
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144294885
PECOS PAC ID: 5799819173
Enrollment ID: I20100820000603
Provider NameDavid C Koon
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1528043205
PECOS PAC ID: 5698899144
Enrollment ID: I20100904000017
Provider NameTanell E Ogbeide
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609108687
PECOS PAC ID: 4284750126
Enrollment ID: I20100928001108
Provider NameJocelyn F Camara
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1760454615
PECOS PAC ID: 0143232751
Enrollment ID: I20101019000343
Provider NameKenneth L Martin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902875016
PECOS PAC ID: 2163615154
Enrollment ID: I20101022000524
Provider NameSamantha A Mckay
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801087283
PECOS PAC ID: 1951594845
Enrollment ID: I20101023000328
Provider NameGeorge A Anadiotis
Provider TypePractitioner - Medical Genetics And Genomics
Provider IdentifiersNPI Number: 1992766695
PECOS PAC ID: 3476747171
Enrollment ID: I20101026001596
Provider NameGwen Grewe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326014234
PECOS PAC ID: 2961696240
Enrollment ID: I20101101000210
Provider NameCurtis Mark Climer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538151857
PECOS PAC ID: 4082894340
Enrollment ID: I20110203001158
Provider NameCoral A Nash
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912142746
PECOS PAC ID: 2264598358
Enrollment ID: I20110404000621
Provider NameEric L Pacini
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1043420086
PECOS PAC ID: 6002086139
Enrollment ID: I20110829000698
Provider NameViktoriya D Monroe
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1649431693
PECOS PAC ID: 1153593363
Enrollment ID: I20111012000724
Provider NameCaroline A Motika
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1245359454
PECOS PAC ID: 6406029636
Enrollment ID: I20111102000785
Provider NameWarren I Okuns
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134385461
PECOS PAC ID: 5698949717
Enrollment ID: I20111129000298
Provider NameBethany M Higa
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1851605430
PECOS PAC ID: 0547436834
Enrollment ID: I20120109000714
Provider NameJoshua Alexander Gepner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174778328
PECOS PAC ID: 9335308873
Enrollment ID: I20120302000153
Provider NameJoseph Albert Amavisca
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316178189
PECOS PAC ID: 9436314895
Enrollment ID: I20120710000304
Provider NameJuliette Lorraine Cutts
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1851548515
PECOS PAC ID: 4385817436
Enrollment ID: I20130222000288
Provider NameCameron Ramsay
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1255455929
PECOS PAC ID: 8729133814
Enrollment ID: I20130521000647
Provider NameJames Bordley V
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1346566981
PECOS PAC ID: 1759536543
Enrollment ID: I20130523000566
Provider NameChristopher L Fraley
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1821011693
PECOS PAC ID: 6608870845
Enrollment ID: I20130716000154
Provider NameJamie Lynn Schmeer
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1477871135
PECOS PAC ID: 0547401804
Enrollment ID: I20130729000768
Provider NameAnong Y Burke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932205556
PECOS PAC ID: 6709962368
Enrollment ID: I20130730000577
Provider NameErika Maria Moseson
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1790010387
PECOS PAC ID: 9133305337
Enrollment ID: I20130801000886
Provider NameEmmanuel Tavan
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1003007907
PECOS PAC ID: 8224283056
Enrollment ID: I20130820000325
Provider NameJenny Nordeen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871789024
PECOS PAC ID: 2163614389
Enrollment ID: I20130918000607
Provider NameColene I Andersen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710932421
PECOS PAC ID: 8426052663
Enrollment ID: I20130924000270
Provider NameJody H Tate
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1740318815
PECOS PAC ID: 8123252442
Enrollment ID: I20130927000593
Provider NameCara J Lutze
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982920872
PECOS PAC ID: 6204060379
Enrollment ID: I20131002000559
Provider NameLaura Ostrom
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528371382
PECOS PAC ID: 1850526955
Enrollment ID: I20131025001590
Provider NameMasahiro Horikawa
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1538587118
PECOS PAC ID: 9436374147
Enrollment ID: I20140711001578
Provider NameBrendan John Daly
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1275731226
PECOS PAC ID: 6406988187
Enrollment ID: I20140823000363
Provider NameJenna M Donaldson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053606137
PECOS PAC ID: 3678792066
Enrollment ID: I20140917001157
Provider NameMary S Mckenzie
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1447417100
PECOS PAC ID: 6800027657
Enrollment ID: I20141204000680
Provider NameAlia Paquette
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154612851
PECOS PAC ID: 4486979689
Enrollment ID: I20150210002420
Provider NameAzad John-salimi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639499817
PECOS PAC ID: 0446576292
Enrollment ID: I20150313000995
Provider NameAllean C Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144540063
PECOS PAC ID: 8325164304
Enrollment ID: I20150417000893
Provider NameJudith Tamarah Marcus
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1437139011
PECOS PAC ID: 6103954771
Enrollment ID: I20150519000225
Provider NameAmish J Desai
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1134282932
PECOS PAC ID: 9537190756
Enrollment ID: I20150603003148
Provider NameKenneth M Leclerc
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1760483754
PECOS PAC ID: 6507836814
Enrollment ID: I20150615002057
Provider NameShao-hwa P Wei
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1205062361
PECOS PAC ID: 7517278146
Enrollment ID: I20150623001219
Provider NameAdama Diarra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306103338
PECOS PAC ID: 2466778766
Enrollment ID: I20150706002752
Provider NameEric J Macevoy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912267816
PECOS PAC ID: 3072825926
Enrollment ID: I20150827000803
Provider NameAbigail Vautrain
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710208921
PECOS PAC ID: 3173767019
Enrollment ID: I20150831002712
Provider NameKelsey M Conklin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801255120
PECOS PAC ID: 0840589651
Enrollment ID: I20160518001305
Provider NameDavid H Delman
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1669764924
PECOS PAC ID: 4082833926
Enrollment ID: I20160831000741
Provider NameAnaise H Hines
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447561279
PECOS PAC ID: 8426244138
Enrollment ID: I20161115001277
Provider NameMegan Barckert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649348160
PECOS PAC ID: 5193008977
Enrollment ID: I20170202001315
Provider NameMatthew D Champion
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1962778902
PECOS PAC ID: 9537477047
Enrollment ID: I20170522000791
Provider NameLaura E Anissian
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194989244
PECOS PAC ID: 1557439767
Enrollment ID: I20170619001396
Provider NameNikolaus A Kashey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538155775
PECOS PAC ID: 4183653389
Enrollment ID: I20170717003501
Provider NameGurjeet Singh
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1780947937
PECOS PAC ID: 8224261763
Enrollment ID: I20170731001640
Provider NameLawrence S Tremaine
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447334032
PECOS PAC ID: 9133431760
Enrollment ID: I20170814002672
Provider NameAngela M Gibbs
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487034484
PECOS PAC ID: 1951614304
Enrollment ID: I20170818002042
Provider NameBrandy Carpenter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033658539
PECOS PAC ID: 6608142500
Enrollment ID: I20171020000992
Provider NameMelissa L Keller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821453093
PECOS PAC ID: 5496017915
Enrollment ID: I20180321002479
Provider NameElizabeth Alston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205348539
PECOS PAC ID: 4981967726
Enrollment ID: I20180410000712
Provider NameMark W Cheng
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1871899740
PECOS PAC ID: 4284867995
Enrollment ID: I20180410002924
Provider NameJennifer Maire
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902293459
PECOS PAC ID: 6608124177
Enrollment ID: I20180731004208
Provider NameRebecca L Corbett
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912391830
PECOS PAC ID: 9032424171
Enrollment ID: I20180807001819
Provider NameNii O Koney
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1649536301
PECOS PAC ID: 0345519252
Enrollment ID: I20180827003354
Provider NameSamuel W Bullick
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1386904662
PECOS PAC ID: 2860633286
Enrollment ID: I20181022002155
Provider NameRicardo Sanchez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1679048979
PECOS PAC ID: 3870838659
Enrollment ID: I20181226000597
Provider NameMelissa Renee Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437636065
PECOS PAC ID: 3971848623
Enrollment ID: I20181227001190
Provider NameTara Marie Mcgarry
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1184975260
PECOS PAC ID: 3971856543
Enrollment ID: I20190110003432
Provider NameMiranda A Meng
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336373950
PECOS PAC ID: 5991041840
Enrollment ID: I20190114001628
Provider NameRychel Rae Cor
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1154563633
PECOS PAC ID: 2860730934
Enrollment ID: I20190214002899
Provider NameMarco R Valencia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487966107
PECOS PAC ID: 2365683968
Enrollment ID: I20190221001158
Provider NameJessie Kha Trieu
Provider TypePractitioner - Internal Medicine
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Provider TypePractitioner - Cardiac Electrophysiology
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Reviews and Comments


General Acute Care Hospital in Tualatin, OR

Gps Ii Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5402 Sw Joshua St, Tualatin, OR 97062
Phone: 503-201-9811    
Michael P. Gardner, Md Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 19260 Sw 65th Ave Ste 310, Tualatin, OR 97062
Phone: 503-692-1200    Fax: 503-692-1220
Tualatin Internal Medicine
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 6485 Sw Borland Rd Ste B, Tualatin, OR 97062
Phone: 503-272-8825    Fax: 503-427-9321
Virginia Garcia Memorial Health Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 11300 Sw Hazelbrook Rd, Tualatin, OR 97062
Phone: 503-431-5100    
Jimmy Huebert Md Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6464 Sw Borland Rd Ste D2, Tualatin, OR 97062
Phone: 503-885-8008    Fax: 503-885-8002
Frank S. Rosenbloom, M.d. Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6464 Sw Borland Rd, Suite B2, Tualatin, OR 97062
Phone: 503-692-5250    Fax: 503-612-0573

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.