| Mirasol Family Health Center | |
|
589 Nw 11th St Hermiston OR 97838 | |
| (541) 567-1717 | |
| (541) 564-5994 |
| Full Name | Mirasol Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 589 Nw 11th St, Hermiston, Oregon |
| Authorized Official Name and Position | Shannon Fernandez (BILLING VP) |
| Authorized Official Contact | 5098656175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirasol Family Health Center Po Box 190 Toppenish WA 98948-0190 Ph: (541) 567-1717 | Mirasol Family Health Center 589 Nw 11th St Hermiston OR 97838 Ph: (541) 567-1717 |
| NPI Number | 1427001940 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 11/02/2022 |
| Medicare PECOS PAC ID | 4385541986 |
|---|---|
| Medicare Enrollment ID | O20040116001020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427001940 | NPI | - | NPPES |
| 7087323 | Medicaid | WA | |
| 022793 | Medicaid | OR | |
| CD9420 | Other | OR | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Denise M Chun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902995376 PECOS PAC ID: 6507753225 Enrollment ID: I20040227000995 |
| Provider Name | Heather N Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255322269 PECOS PAC ID: 6002827508 Enrollment ID: I20061220000066 |
| Provider Name | Tina M Galey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437229366 PECOS PAC ID: 9537169396 Enrollment ID: I20070102000269 |
| Provider Name | Jenny L Stegeman-olsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760431464 PECOS PAC ID: 5799801197 Enrollment ID: I20100922001116 |
| Provider Name | Jeanne S Savage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528157997 PECOS PAC ID: 1557550084 Enrollment ID: I20110113000871 |
| Provider Name | Amy F Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679654412 PECOS PAC ID: 1951447044 Enrollment ID: I20110614000317 |
| Provider Name | Nathaniel Eaton Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851670954 PECOS PAC ID: 2668642521 Enrollment ID: I20110901000115 |
| Provider Name | Gay Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700017167 PECOS PAC ID: 4789858515 Enrollment ID: I20111114000316 |
| Provider Name | Leslie Drapiza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992021745 PECOS PAC ID: 5698968782 Enrollment ID: I20111229000380 |
| Provider Name | Sabine Volchok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295986727 PECOS PAC ID: 4486824489 Enrollment ID: I20130130000261 |
| Provider Name | Denise S Palke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326367020 PECOS PAC ID: 7012161672 Enrollment ID: I20130206000528 |
| Provider Name | Antonio M Germann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235394107 PECOS PAC ID: 9830351881 Enrollment ID: I20130207000464 |
| Provider Name | Mark E Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366407181 PECOS PAC ID: 5092815761 Enrollment ID: I20131120001714 |
| Provider Name | Jerry Yale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669586442 PECOS PAC ID: 3870675515 Enrollment ID: I20140911000899 |
| Provider Name | Laura J White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306275847 PECOS PAC ID: 6103048632 Enrollment ID: I20141117001116 |
| Provider Name | Lisa M Schlegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053715326 PECOS PAC ID: 1052633708 Enrollment ID: I20141208000961 |
| Provider Name | Jamey L Burris-fish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861488868 PECOS PAC ID: 7012997950 Enrollment ID: I20150422000857 |
| Provider Name | Brenda Rose Mcnaughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083009872 PECOS PAC ID: 6709107667 Enrollment ID: I20150603001751 |
| Provider Name | Chelsea Anne Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912257015 PECOS PAC ID: 4789991530 Enrollment ID: I20150911000619 |
| Provider Name | Robert Joesph Yoder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992162630 PECOS PAC ID: 2860783842 Enrollment ID: I20160622001296 |
| Provider Name | Maliheh M Nakhai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538504535 PECOS PAC ID: 1658506571 Enrollment ID: I20160822001133 |
| Provider Name | Erin Steiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043668940 PECOS PAC ID: 7113213497 Enrollment ID: I20160913001398 |
| Provider Name | Megan Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568807337 PECOS PAC ID: 0648567271 Enrollment ID: I20160927000132 |
| Provider Name | Jessica Beeghly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780826917 PECOS PAC ID: 1850673427 Enrollment ID: I20170117001725 |
| Provider Name | Nathan W Engle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336481100 PECOS PAC ID: 3870867542 Enrollment ID: I20170919001351 |
| Provider Name | Capella Lapham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881129427 PECOS PAC ID: 0345504825 Enrollment ID: I20180509001451 |
| Provider Name | Cynthia Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477031912 PECOS PAC ID: 5991056392 Enrollment ID: I20180925000851 |
| Provider Name | Seth Alkire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942615869 PECOS PAC ID: 3971899444 Enrollment ID: I20181010001197 |
| Provider Name | Roopa Sunil Pandit |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043690993 PECOS PAC ID: 8123334448 Enrollment ID: I20181228002084 |
| Provider Name | Ashley Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114494291 PECOS PAC ID: 8123367406 Enrollment ID: I20190304002483 |
| Provider Name | Susan Delmar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114338498 PECOS PAC ID: 5496095242 Enrollment ID: I20190314001282 |
| Provider Name | Katherine Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952666166 PECOS PAC ID: 4486884335 Enrollment ID: I20190522003196 |
| Provider Name | Caroline Mf Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902217813 PECOS PAC ID: 1456576826 Enrollment ID: I20190802002906 |
| Provider Name | Mania Md Kupershtok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528457397 PECOS PAC ID: 6800161977 Enrollment ID: I20190913001586 |
| Provider Name | Stacy Brueckner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396140968 PECOS PAC ID: 8628323888 Enrollment ID: I20191010002065 |
| Provider Name | Kan Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225484900 PECOS PAC ID: 8628337524 Enrollment ID: I20191113002133 |
| Provider Name | Rebecca Rueppel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619152188 PECOS PAC ID: 4587096474 Enrollment ID: I20191114001768 |
| Provider Name | Anthony Bellsmith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427404243 PECOS PAC ID: 6305130824 Enrollment ID: I20191203000313 |
| Provider Name | Sandra Villalpando |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881041291 PECOS PAC ID: 4789972365 Enrollment ID: I20191220001301 |
| Provider Name | Jon Froyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952646960 PECOS PAC ID: 5294965778 Enrollment ID: I20200107002402 |
| Provider Name | Susan L Gillette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730742065 PECOS PAC ID: 6406280510 Enrollment ID: I20200108000933 |
| Provider Name | Koji Kainuma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669898268 PECOS PAC ID: 8921227794 Enrollment ID: I20200713001594 |
| Provider Name | Jean-huei Yau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346603792 PECOS PAC ID: 0345536611 Enrollment ID: I20200901002743 |
| Provider Name | Jemie Walrod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114453396 PECOS PAC ID: 9133498272 Enrollment ID: I20200909003005 |
| Provider Name | Jason Milton Harper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891976783 PECOS PAC ID: 5991821019 Enrollment ID: I20201016000915 |
| Provider Name | Patricia G Zeisler-davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952602112 PECOS PAC ID: 5193145563 Enrollment ID: I20201023001889 |
| Provider Name | Antoinette E Teixeira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942532221 PECOS PAC ID: 2466866777 Enrollment ID: I20210128000402 |
| Provider Name | Brent Fivecoat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578927414 PECOS PAC ID: 4486935913 Enrollment ID: I20210128002437 |
| Provider Name | Shaleen Morgan Doctor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417444845 PECOS PAC ID: 7113274655 Enrollment ID: I20210902000829 |
| Provider Name | Sienna Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326508912 PECOS PAC ID: 6901135524 Enrollment ID: I20211025001725 |
| Provider Name | Cindy Sun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730686544 PECOS PAC ID: 1456603448 Enrollment ID: I20211108000501 |
| Provider Name | Zachary Assink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538781851 PECOS PAC ID: 4981025152 Enrollment ID: I20220627002779 |
| Provider Name | Theresa Whitchurch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952965626 PECOS PAC ID: 7315274099 Enrollment ID: I20220808002041 |
| Provider Name | Andrea Nunez Morales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528566221 PECOS PAC ID: 8426432923 Enrollment ID: I20220901001717 |
| Provider Name | Lakesha Francis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235691445 PECOS PAC ID: 6901132596 Enrollment ID: I20220929003843 |
| Provider Name | Kellie Elizabeth Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104481175 PECOS PAC ID: 6002205416 Enrollment ID: I20221107002597 |
| Provider Name | Alexis Drayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831715366 PECOS PAC ID: 1759797566 Enrollment ID: I20221214000998 |
| Provider Name | Brigid Eileen Koeppen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497898464 PECOS PAC ID: 2567836455 Enrollment ID: I20230315002801 |
| Provider Name | Phillip Hawley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447637384 PECOS PAC ID: 1254642424 Enrollment ID: I20230724001358 |
| Provider Name | Celia Lancaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093119000 PECOS PAC ID: 5092038976 Enrollment ID: I20230727003850 |
| Provider Name | Alix Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588292445 PECOS PAC ID: 1052742608 Enrollment ID: I20230731002023 |
| Provider Name | Patience J. Pine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508360934 PECOS PAC ID: 7517320500 Enrollment ID: I20230823003104 |
| Provider Name | Alfredo Alvarez-frias |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023705571 PECOS PAC ID: 1355795238 Enrollment ID: I20230926002938 |
| Provider Name | Amber Purdell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902860570 PECOS PAC ID: 8325493414 Enrollment ID: I20231010001145 |
| Provider Name | Julia Saltzgiver |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760003883 PECOS PAC ID: 7517313729 Enrollment ID: I20231024003967 |
| Provider Name | Rocio Petersen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982094645 PECOS PAC ID: 7517313752 Enrollment ID: I20231025000594 |
| Provider Name | Yesem T Demeke |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992224760 PECOS PAC ID: 2264888353 Enrollment ID: I20231025003381 |
| Provider Name | Stephanie C Mangual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801585385 PECOS PAC ID: 5597112193 Enrollment ID: I20231102004035 |
| Provider Name | Hannah Lundeen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043996317 PECOS PAC ID: 3072960582 Enrollment ID: I20231106000785 |
| Provider Name | Laura Macmaster Dean |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699385674 PECOS PAC ID: 1658728720 Enrollment ID: I20231120003003 |
| Provider Name | Katie O'hanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114515566 PECOS PAC ID: 6002264272 Enrollment ID: I20231128003271 |
| Provider Name | Jennifer Christine Kainani Ching |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003698192 PECOS PAC ID: 8729436613 Enrollment ID: I20231204001393 |
| Provider Name | Christopher Backsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033589445 PECOS PAC ID: 3577860659 Enrollment ID: I20231206000940 |
| Provider Name | Ryan D Arams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134788771 PECOS PAC ID: 0345690517 Enrollment ID: I20231229002345 |
| Provider Name | Bjai A Rice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912490954 PECOS PAC ID: 9436552759 Enrollment ID: I20240105002468 |
| Provider Name | Deborah Corey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528296027 PECOS PAC ID: 0345691796 Enrollment ID: I20240110000896 |
| Provider Name | Tammy Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023395548 PECOS PAC ID: 0446602296 Enrollment ID: I20240117004538 |
| Provider Name | Kimberly L Clinite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366837163 PECOS PAC ID: 5991052482 Enrollment ID: I20240124002847 |
| Provider Name | Rashmi Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487207130 PECOS PAC ID: 0143550376 Enrollment ID: I20240131003976 |
| Provider Name | Tahereh Sazegar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386184489 PECOS PAC ID: 2961845995 Enrollment ID: I20240207000917 |
| Provider Name | Consepcion Guerrero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639557648 PECOS PAC ID: 9830532373 Enrollment ID: I20240212002124 |
| Provider Name | Catherine M Larrouy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023872710 PECOS PAC ID: 0446696769 Enrollment ID: I20240308003170 |
| Provider Name | Felicia Ann Medlock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720669872 PECOS PAC ID: 8224476072 Enrollment ID: I20240329001512 |
| Provider Name | Kenneth M Carlson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952332702 PECOS PAC ID: 7012359151 Enrollment ID: I20240521003560 |
Praxis Health, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Nw 11th St Ste E15, Hermiston, OR 97838 Phone: 541-567-6434 Fax: 541-429-6613 | |
Cornerstone Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 955 Se 4th St Ste B, Hermiston, OR 97838 Phone: 817-733-4691 | |
Good Shepherd Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 W Elm Ave, Suite #110, Hermiston, OR 97838 Phone: 541-567-3797 Fax: 541-567-7720 | |
Columbia Basin Wellness Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 W Hermiston Ave, Suite 100 C, Hermiston, OR 97838 Phone: 541-667-8357 Fax: 541-667-8357 | |
Advanced Orthopedic & Sports Medicine Institute, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Nw 11th St, Ste 201, Hermiston, OR 97838 Phone: 541-289-7075 Fax: 541-289-1189 | |
Ben Booher Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 W Orchard Ave, Hermiston, OR 97838 Phone: 541-289-4555 Fax: 541-289-4556 |