| Merritt Health And Wellness Llc | |
|
6519 Se Milwaukie Ave Portland OR 97202-5519 | |
| (971) 258-1120 | |
| Not Available |
| Full Name | Merritt Health And Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6519 Se Milwaukie Ave, Portland, Oregon |
| Authorized Official Name and Position | Seth Merritt (OWNER, NURSE PRACTITIONER) |
| Authorized Official Contact | 9712581120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merritt Health And Wellness Llc Po Box 82221 Portland OR 97282-0221 Ph: (971) 258-1120 | Merritt Health And Wellness Llc 6519 Se Milwaukie Ave Portland OR 97202-5519 Ph: (971) 258-1120 |
| NPI Number | 1437403623 |
|---|---|
| Provider Enumeration Date | 11/09/2012 |
| Last Update Date | 02/10/2013 |
| Medicare PECOS PAC ID | 1052565777 |
|---|---|
| Medicare Enrollment ID | O20130205000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437403623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 200850079NP (Oregon) | Primary |
| Provider Name | Dana W Mozer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104874262 PECOS PAC ID: 7911940895 Enrollment ID: I20050602000601 |
| Provider Name | Kristine E Griess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285711010 PECOS PAC ID: 4284899626 Enrollment ID: I20120710000035 |
| Provider Name | Seth A Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528259884 PECOS PAC ID: 7214181932 Enrollment ID: I20130212000170 |
| Provider Name | Lindsey J Wismer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871898544 PECOS PAC ID: 2567769193 Enrollment ID: I20160328000766 |
| Provider Name | Sheryl R Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366979486 PECOS PAC ID: 0840626735 Enrollment ID: I20200213000788 |
| Provider Name | Claire H Draudt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407429814 PECOS PAC ID: 4587056569 Enrollment ID: I20220125001665 |
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