| Multnomah County Health Dept, North Portland | |
|
9000 N Lombard St Portland OR 97203-3006 | |
| (503) 988-7462 | |
| (503) 988-5305 |
| Full Name | Multnomah County Health Dept, North Portland |
|---|---|
| Speciality | Clinic/Center |
| Location | 9000 N Lombard St, Portland, Oregon |
| Authorized Official Name and Position | Derrick Moten (INTERIM BUSINESS SERVICES DIRECTOR) |
| Authorized Official Contact | 5039882966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Multnomah County Health Dept, North Portland 619 Nw 6th Ave Ste 500 Portland OR 97209-3964 Ph: (503) 988-7468 | Multnomah County Health Dept, North Portland 9000 N Lombard St Portland OR 97203-3006 Ph: (503) 988-7462 |
| NPI Number | 1609914787 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 05/18/2024 |
| Medicare PECOS PAC ID | 6608771787 |
|---|---|
| Medicare Enrollment ID | O20031203000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609914787 | NPI | - | NPPES |
| 022959 | Medicaid | OR | |
| 096511 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Oregon) | Primary |
| 261QP0905X | Clinic/center - Public Health, State Or Local | (Oregon) | Secondary |
| Provider Name | Jenny J Tsai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033124540 PECOS PAC ID: 9234038621 Enrollment ID: I20040105000732 |
| Provider Name | Julia Marie Vance |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558390872 PECOS PAC ID: 6305747098 Enrollment ID: I20040115001058 |
| Provider Name | Evelyn A Curioso |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699777482 PECOS PAC ID: 0941196448 Enrollment ID: I20040223000856 |
| Provider Name | Peter N Mahr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548312754 PECOS PAC ID: 8820985609 Enrollment ID: I20040304000659 |
| Provider Name | Deane Charles De Fontes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114050754 PECOS PAC ID: 1951392992 Enrollment ID: I20040519001157 |
| Provider Name | Susan A Kass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811936362 PECOS PAC ID: 9335122860 Enrollment ID: I20040608000116 |
| Provider Name | Anne A Vetto |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962532499 PECOS PAC ID: 9931182052 Enrollment ID: I20040610000371 |
| Provider Name | Kirsten L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003864596 PECOS PAC ID: 8224097571 Enrollment ID: I20041004000652 |
| Provider Name | Kimberly E Kintz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598879892 PECOS PAC ID: 9335108596 Enrollment ID: I20041006000060 |
| Provider Name | Judy M Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902818115 PECOS PAC ID: 8628038411 Enrollment ID: I20041015000559 |
| Provider Name | Sara A Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346217403 PECOS PAC ID: 1759331622 Enrollment ID: I20050127000995 |
| Provider Name | Myrtice L Jecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124169495 PECOS PAC ID: 8729038690 Enrollment ID: I20050127001017 |
| Provider Name | Heather A Lorenzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861643686 PECOS PAC ID: 4284687880 Enrollment ID: I20050223000575 |
| Provider Name | Valerie A Krause |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437287539 PECOS PAC ID: 9537108972 Enrollment ID: I20050426000895 |
| Provider Name | Kar Yee Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861418832 PECOS PAC ID: 0547201063 Enrollment ID: I20050516000292 |
| Provider Name | Amy K Henninger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083629588 PECOS PAC ID: 6406897966 Enrollment ID: I20050516000569 |
| Provider Name | Robert W Henriques |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952348096 PECOS PAC ID: 8921076191 Enrollment ID: I20051103000528 |
| Provider Name | Karen M Erde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609824754 PECOS PAC ID: 3971525684 Enrollment ID: I20051222000073 |
| Provider Name | Ingeborg Hindel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487600987 PECOS PAC ID: 3971526450 Enrollment ID: I20060111000153 |
| Provider Name | Liliana Pattie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457405094 PECOS PAC ID: 6305851098 Enrollment ID: I20060216000416 |
| Provider Name | Carla C Radcliffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811038193 PECOS PAC ID: 6204843717 Enrollment ID: I20060308000467 |
| Provider Name | Karen N Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699795583 PECOS PAC ID: 6305853771 Enrollment ID: I20060309000140 |
| Provider Name | Amy A Toengi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568418044 PECOS PAC ID: 6800892753 Enrollment ID: I20061017000085 |
| Provider Name | Ceara H Carder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073655122 PECOS PAC ID: 5991808123 Enrollment ID: I20070308000522 |
| Provider Name | Carole D Gaglione |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245247907 PECOS PAC ID: 4284737198 Enrollment ID: I20070314000376 |
| Provider Name | Lisa C Sullivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841380375 PECOS PAC ID: 1658463245 Enrollment ID: I20070828000310 |
| Provider Name | Terrance Marshall James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508069956 PECOS PAC ID: 0941393813 Enrollment ID: I20070908000107 |
| Provider Name | Leigh A Hedrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801004353 PECOS PAC ID: 4789773482 Enrollment ID: I20071204000105 |
| Provider Name | Paul Francis Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093721557 PECOS PAC ID: 2062501364 Enrollment ID: I20071210000536 |
| Provider Name | James E Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265513675 PECOS PAC ID: 1759471584 Enrollment ID: I20071218000084 |
| Provider Name | Mary Katherine Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619927944 PECOS PAC ID: 9537148697 Enrollment ID: I20080731000339 |
| Provider Name | Katherine M Hogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770786220 PECOS PAC ID: 7618041732 Enrollment ID: I20080806000773 |
| Provider Name | Renata A Ackermann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053453050 PECOS PAC ID: 6305913344 Enrollment ID: I20080917000485 |
| Provider Name | Teresa A Everson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760681084 PECOS PAC ID: 1850468711 Enrollment ID: I20080919000042 |
| Provider Name | Katia Lease Shorb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336289974 PECOS PAC ID: 2961567540 Enrollment ID: I20090213000470 |
| Provider Name | Agnes White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083669410 PECOS PAC ID: 4385786482 Enrollment ID: I20100128000215 |
| Provider Name | Amy R Benson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487790184 PECOS PAC ID: 1355404963 Enrollment ID: I20100204000213 |
| Provider Name | Lisa A Sprague |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124170386 PECOS PAC ID: 7315080488 Enrollment ID: I20100211000573 |
| Provider Name | Yuen M Chan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992856546 PECOS PAC ID: 5496898561 Enrollment ID: I20100211000585 |
| Provider Name | Maria K Kosmetatos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215080387 PECOS PAC ID: 2365587367 Enrollment ID: I20100302000452 |
| Provider Name | Margaret J Retondo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396877056 PECOS PAC ID: 7810032620 Enrollment ID: I20100304000556 |
| Provider Name | Michael S Macveigh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396873444 PECOS PAC ID: 9830234525 Enrollment ID: I20100305000342 |
| Provider Name | Libet Streiff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316090244 PECOS PAC ID: 0446385363 Enrollment ID: I20100317000866 |
| Provider Name | Guadalupe Toledo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053463224 PECOS PAC ID: 8729113659 Enrollment ID: I20100317000947 |
| Provider Name | Anne T Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033262365 PECOS PAC ID: 4688709520 Enrollment ID: I20100317000999 |
| Provider Name | Laurie Ann Beeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194878470 PECOS PAC ID: 4587799341 Enrollment ID: I20100318000198 |
| Provider Name | Emily Yamashita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356504989 PECOS PAC ID: 4486715331 Enrollment ID: I20100318000218 |
| Provider Name | Wayne Douglas Englander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114079472 PECOS PAC ID: 1254467038 Enrollment ID: I20100331000593 |
| Provider Name | Judith C Becher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114055258 PECOS PAC ID: 2567598261 Enrollment ID: I20100406000335 |
| Provider Name | Kristin M Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730230368 PECOS PAC ID: 1951437508 Enrollment ID: I20100407000477 |
| Provider Name | Vivian B Vargo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043330343 PECOS PAC ID: 6103952783 Enrollment ID: I20100407000774 |
| Provider Name | Ora Botwinick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093866634 PECOS PAC ID: 3375670896 Enrollment ID: I20100414000791 |
| Provider Name | Kim Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578585501 PECOS PAC ID: 1759387319 Enrollment ID: I20100415000294 |
| Provider Name | Janet Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427073832 PECOS PAC ID: 7315075868 Enrollment ID: I20100504000847 |
| Provider Name | Joanne E Serna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336386481 PECOS PAC ID: 0840328282 Enrollment ID: I20100505001106 |
| Provider Name | Sally Rothacker Peyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952386732 PECOS PAC ID: 4880722982 Enrollment ID: I20100511000808 |
| Provider Name | Peter Hatcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356492979 PECOS PAC ID: 7012045016 Enrollment ID: I20100512000876 |
| Provider Name | Erin Es Stocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306082888 PECOS PAC ID: 2163552878 Enrollment ID: I20100607000471 |
| Provider Name | Paul Denouden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962496885 PECOS PAC ID: 5395705594 Enrollment ID: I20100625000228 |
| Provider Name | Vantrang T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326377235 PECOS PAC ID: 8224152269 Enrollment ID: I20100827000828 |
| Provider Name | Jeanne Krinsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295888360 PECOS PAC ID: 7315132008 Enrollment ID: I20101108000692 |
| Provider Name | Amanda Cort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528372489 PECOS PAC ID: 0042405557 Enrollment ID: I20101110000621 |
| Provider Name | Debra Heybach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669525820 PECOS PAC ID: 4688869761 Enrollment ID: I20101115000914 |
| Provider Name | David A Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053408724 PECOS PAC ID: 3375629124 Enrollment ID: I20110110000446 |
| Provider Name | Douglas Raymond Lyon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700033925 PECOS PAC ID: 3375726680 Enrollment ID: I20110324000210 |
| Provider Name | Ursula J White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326366907 PECOS PAC ID: 6305016148 Enrollment ID: I20110902000375 |
| Provider Name | Brooks Gaston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497050801 PECOS PAC ID: 6406027614 Enrollment ID: I20110920000491 |
| Provider Name | Joseph Eisenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063749802 PECOS PAC ID: 1658543814 Enrollment ID: I20111012000117 |
| Provider Name | Jeffrey H Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588809347 PECOS PAC ID: 3274708623 Enrollment ID: I20111213000532 |
| Provider Name | Jennifer A Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376799924 PECOS PAC ID: 1557536950 Enrollment ID: I20111214000206 |
| Provider Name | Margaret Weisskirk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396987293 PECOS PAC ID: 0042486532 Enrollment ID: I20120104000880 |
| Provider Name | Tamra Kehoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184720500 PECOS PAC ID: 1355518226 Enrollment ID: I20120117000467 |
| Provider Name | Joanne Marie Wallis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932370756 PECOS PAC ID: 0042487860 Enrollment ID: I20120119000459 |
| Provider Name | Jay E.e. Wilkinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497809164 PECOS PAC ID: 4183881162 Enrollment ID: I20120202000233 |
| Provider Name | Mary Meadows |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447298260 PECOS PAC ID: 5092973784 Enrollment ID: I20120227000727 |
| Provider Name | Grace J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992857213 PECOS PAC ID: 5799944187 Enrollment ID: I20120305000016 |
| 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 | Giselle C Ondetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376864181 PECOS PAC ID: 6103088190 Enrollment ID: I20120509000357 |
| Provider Name | Rebecca M Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679865729 PECOS PAC ID: 4082884648 Enrollment ID: I20120509000684 |
| Provider Name | Bukhosi B Dube |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619132891 PECOS PAC ID: 6507029147 Enrollment ID: I20120518000323 |
| Provider Name | Julie Thibodeaux Radloff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427282938 PECOS PAC ID: 9537319165 Enrollment ID: I20121017000311 |
| Provider Name | Shannon Lee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154686814 PECOS PAC ID: 2668623224 Enrollment ID: I20121108000498 |
| Provider Name | Seth M Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093038986 PECOS PAC ID: 1658522552 Enrollment ID: I20121126000514 |
| Provider Name | Adriane Marie Tuttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871869149 PECOS PAC ID: 6305000357 Enrollment ID: I20130423000339 |
| Provider Name | Shagufta Jabeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649570631 PECOS PAC ID: 4688845803 Enrollment ID: I20130507000237 |
| Provider Name | Deborah Pack-patton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164704433 PECOS PAC ID: 0143468652 Enrollment ID: I20130522000568 |
| Provider Name | Kristin L Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013190081 PECOS PAC ID: 8426297961 Enrollment ID: I20130613000615 |
| Provider Name | Filza Akhtar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356667737 PECOS PAC ID: 8123273935 Enrollment ID: I20130821000925 |
| Provider Name | Ishmael Togamae |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578875696 PECOS PAC ID: 4880838754 Enrollment ID: I20130913000681 |
| Provider Name | Jenny Nordeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871789024 PECOS PAC ID: 2163614389 Enrollment ID: I20130918000607 |
| Provider Name | Laurel K Hallock Koppelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942623764 PECOS PAC ID: 5395960033 Enrollment ID: I20140714000426 |
| Provider Name | Qian Leng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154637015 PECOS PAC ID: 1658524723 Enrollment ID: I20140724000599 |
| Provider Name | Sara Mitenbuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922338789 PECOS PAC ID: 5496914103 Enrollment ID: I20140911001996 |
| Provider Name | Charlene Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962742460 PECOS PAC ID: 6406075944 Enrollment ID: I20140916002130 |
| Provider Name | Elizabeth Claire Yiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598165318 PECOS PAC ID: 9830319581 Enrollment ID: I20141001002304 |
| Provider Name | Whitney R. Ault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649674961 PECOS PAC ID: 2062634983 Enrollment ID: I20141110001224 |
| Provider Name | Mary Ann Galagate Muth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801180815 PECOS PAC ID: 6709009962 Enrollment ID: I20141112000816 |
| Provider Name | Anna Pierzchala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265728802 PECOS PAC ID: 1153645437 Enrollment ID: I20150114001373 |
| Provider Name | Marcus Cooksey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922279272 PECOS PAC ID: 3678606464 Enrollment ID: I20150116002178 |
| Provider Name | Mary Jepson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871927301 PECOS PAC ID: 7810126679 Enrollment ID: I20150204002240 |
| Provider Name | Pia Klamper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467708800 PECOS PAC ID: 6901053800 Enrollment ID: I20150226001647 |
| Provider Name | Marianne Clinton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871561951 PECOS PAC ID: 0941231591 Enrollment ID: I20150324001504 |
| Provider Name | Rachel J Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740516434 PECOS PAC ID: 8224263140 Enrollment ID: I20150521002590 |
| Provider Name | Jacqueline Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508912478 PECOS PAC ID: 8628399821 Enrollment ID: I20150529002110 |
| Provider Name | Ruth Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558770149 PECOS PAC ID: 1052622107 Enrollment ID: I20150616002918 |
| Provider Name | Lindsay Braun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821354366 PECOS PAC ID: 2860638129 Enrollment ID: I20150618002981 |
| Provider Name | Marc Lejeune |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962636464 PECOS PAC ID: 7719298249 Enrollment ID: I20150624001416 |
| Provider Name | Rachel Dummigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629121959 PECOS PAC ID: 0648582759 Enrollment ID: I20150702000468 |
| Provider Name | Jing Wei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093114373 PECOS PAC ID: 0446564884 Enrollment ID: I20150729010441 |
| Provider Name | Nancy Heisel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134274129 PECOS PAC ID: 1658469606 Enrollment ID: I20150731014732 |
| Provider Name | Mary Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922485135 PECOS PAC ID: 9234443227 Enrollment ID: I20150804006136 |
| Provider Name | Donald R Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386049310 PECOS PAC ID: 1355656356 Enrollment ID: I20150820010284 |
| Provider Name | Abigail Vautrain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710208921 PECOS PAC ID: 3173767019 Enrollment ID: I20150831002712 |
| Provider Name | Jaclyn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255614624 PECOS PAC ID: 7810121258 Enrollment ID: I20151008002971 |
| Provider Name | Norma Mary Furlong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528111721 PECOS PAC ID: 9133438260 Enrollment ID: I20151012001814 |
| Provider Name | Nancy Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881900603 PECOS PAC ID: 9830408756 Enrollment ID: I20151015001863 |
| Provider Name | Randall A Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447312178 PECOS PAC ID: 8820192842 Enrollment ID: I20160128002527 |
| Provider Name | Robin Sewall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912349184 PECOS PAC ID: 7012145915 Enrollment ID: I20160322001496 |
| Provider Name | Sandy Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992963011 PECOS PAC ID: 6002958386 Enrollment ID: I20160414002188 |
| Provider Name | Tyler Chipman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366812372 PECOS PAC ID: 2264730654 Enrollment ID: I20160419001103 |
| Provider Name | Rachel A Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750695961 PECOS PAC ID: 1759575699 Enrollment ID: I20160422002185 |
| Provider Name | Alann E Weissman-ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629309398 PECOS PAC ID: 5092948349 Enrollment ID: I20160615002426 |
| Provider Name | April D Urquidez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649685595 PECOS PAC ID: 4385860253 Enrollment ID: I20160725000840 |
| Provider Name | Margot Strauhull |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447533948 PECOS PAC ID: 1951695428 Enrollment ID: I20160805000678 |
| Provider Name | Shelby Freed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275811549 PECOS PAC ID: 3476713744 Enrollment ID: I20160906002545 |
| Provider Name | Jennifer L Yeast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285996926 PECOS PAC ID: 2062733900 Enrollment ID: I20160926002411 |
| Provider Name | Naomi Avery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225303316 PECOS PAC ID: 6800110578 Enrollment ID: I20161027002094 |
| Provider Name | Leah B Baruch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407292592 PECOS PAC ID: 3577883701 Enrollment ID: I20161031002606 |
| Provider Name | Fern Hemmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487966289 PECOS PAC ID: 0547549834 Enrollment ID: I20161109000080 |
| Provider Name | Lori-ann Lima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306392527 PECOS PAC ID: 5799065256 Enrollment ID: I20161130000156 |
| Provider Name | Margaret Presley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447707625 PECOS PAC ID: 2668753880 Enrollment ID: I20161230001526 |
| Provider Name | Alexis B De Lucca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770928558 PECOS PAC ID: 9234365784 Enrollment ID: I20170110002493 |
| Provider Name | Andrea M Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649675034 PECOS PAC ID: 9032419072 Enrollment ID: I20170208003048 |
| Provider Name | Neema Mohammad Nader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952859555 PECOS PAC ID: 5193009991 Enrollment ID: I20170222001737 |
| Provider Name | Nanette G Zunkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396188488 PECOS PAC ID: 0648541557 Enrollment ID: I20170810000613 |
| Provider Name | Syrett Torres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790036366 PECOS PAC ID: 3779856091 Enrollment ID: I20170908001583 |
| Provider Name | Jennifer Vines |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1598857153 PECOS PAC ID: 1052405479 Enrollment ID: I20170926002055 |
| Provider Name | Dawn Mautner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770774598 PECOS PAC ID: 0941340459 Enrollment ID: I20170928001929 |
| Provider Name | Jason Chin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598981029 PECOS PAC ID: 8527326495 Enrollment ID: I20171222001154 |
| Provider Name | Niyyah Ruscher-haqq |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831608520 PECOS PAC ID: 6901165018 Enrollment ID: I20180118001276 |
| Provider Name | Katie S Strawn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346759628 PECOS PAC ID: 9032479357 Enrollment ID: I20180207000209 |
| Provider Name | Luis Adan Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528575388 PECOS PAC ID: 6800157306 Enrollment ID: I20180226000623 |
| Provider Name | Nancy D Schwarzkopf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073773396 PECOS PAC ID: 5395819130 Enrollment ID: I20180404002788 |
| Provider Name | Maria G Garibay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396047320 PECOS PAC ID: 9931462272 Enrollment ID: I20180418002812 |
| Provider Name | Michele Babaie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497737662 PECOS PAC ID: 5395008569 Enrollment ID: I20180423000629 |
| Provider Name | Candice Lyn Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396252524 PECOS PAC ID: 9335494830 Enrollment ID: I20180625003113 |
| Provider Name | Nicole Mcknight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407165756 PECOS PAC ID: 2163617366 Enrollment ID: I20180911000853 |
| Provider Name | Marilyn Sophia Hargett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851637383 PECOS PAC ID: 5799036612 Enrollment ID: I20180914002694 |
| Provider Name | Monica J Gulley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447547807 PECOS PAC ID: 4688984669 Enrollment ID: I20181011000881 |
| Provider Name | Kama T Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578948170 PECOS PAC ID: 5890039390 Enrollment ID: I20181211001603 |
| Provider Name | Divneet Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275973083 PECOS PAC ID: 8921313784 Enrollment ID: I20181218003476 |
| Provider Name | Benjamin Russell Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801184601 PECOS PAC ID: 6204079130 Enrollment ID: I20190111000439 |
| Provider Name | Renae Rykaczewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053895110 PECOS PAC ID: 6800135583 Enrollment ID: I20190222002649 |
| Provider Name | Adam Hoverman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649387044 PECOS PAC ID: 6709885783 Enrollment ID: I20190306001770 |
| Provider Name | Kimberly L Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265939185 PECOS PAC ID: 2365775988 Enrollment ID: I20190612003241 |
| Provider Name | Tim I Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760688568 PECOS PAC ID: 6103013255 Enrollment ID: I20190624003786 |
| Provider Name | Gina Teresa Cardona |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316178197 PECOS PAC ID: 1254665136 Enrollment ID: I20190626002560 |
| Provider Name | Virginia Clare Weeks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366836900 PECOS PAC ID: 9335460120 Enrollment ID: I20190725002511 |
| Provider Name | Ryely Waite-jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033630363 PECOS PAC ID: 1759618481 Enrollment ID: I20190802002756 |
| Provider Name | Kevin Robert Minor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720305121 PECOS PAC ID: 2163753179 Enrollment ID: I20191004002758 |
| Provider Name | Amy Samantha Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174170682 PECOS PAC ID: 2264764745 Enrollment ID: I20191102000181 |
| Provider Name | Janice Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922480045 PECOS PAC ID: 5991010886 Enrollment ID: I20191104001673 |
| Provider Name | Emma Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811547219 PECOS PAC ID: 6901138247 Enrollment ID: I20191106000164 |
| Provider Name | Jon Froyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952646960 PECOS PAC ID: 5294965778 Enrollment ID: I20200107002402 |
| Provider Name | Marla Castello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295128650 PECOS PAC ID: 6406282912 Enrollment ID: I20200131001698 |
| Provider Name | Krista Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447893383 PECOS PAC ID: 2961838206 Enrollment ID: I20200205002492 |
| Provider Name | Erica Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790323947 PECOS PAC ID: 6103253950 Enrollment ID: I20200217004938 |
| Provider Name | Kelly A Van Denend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740837863 PECOS PAC ID: 7214365287 Enrollment ID: I20200325002508 |
| Provider Name | Timothy William Menza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003105891 PECOS PAC ID: 9739327065 Enrollment ID: I20200327000321 |
| Provider Name | Sara Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902468358 PECOS PAC ID: 3870922511 Enrollment ID: I20200401001988 |
| Provider Name | Angela Massoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043649908 PECOS PAC ID: 9234361825 Enrollment ID: I20200414003476 |
| Provider Name | Sarah Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518263235 PECOS PAC ID: 9436309341 Enrollment ID: I20200527000879 |
| Provider Name | Sayali Kulkarni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821647140 PECOS PAC ID: 0143642314 Enrollment ID: I20200616001571 |
| Provider Name | Breanna Nicole Baraff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336783190 PECOS PAC ID: 6507289832 Enrollment ID: I20200706001388 |
| Provider Name | Sara Dunbar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194343038 PECOS PAC ID: 7012336456 Enrollment ID: I20201002002794 |
| Provider Name | Sandra Eugenia Lohstroh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770094682 PECOS PAC ID: 1052657269 Enrollment ID: I20210107002731 |
| Provider Name | Sheetal Arunkumar Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689276875 PECOS PAC ID: 8729496104 Enrollment ID: I20210423001582 |
| Provider Name | Ezy Hanbyul Yoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558780528 PECOS PAC ID: 6103042361 Enrollment ID: I20210426002816 |
| Provider Name | Madeline Grandy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326488271 PECOS PAC ID: 0244567717 Enrollment ID: I20210504002994 |
| Provider Name | Lorenzo Ramon Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982226411 PECOS PAC ID: 6709280514 Enrollment ID: I20210802000536 |
| Provider Name | Samuel Hurley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407331531 PECOS PAC ID: 2062819295 Enrollment ID: I20210930000886 |
| Provider Name | Laura Marie F Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821587924 PECOS PAC ID: 6507112257 Enrollment ID: I20211006002821 |
| Provider Name | Ivy Seaburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235802117 PECOS PAC ID: 7113315466 Enrollment ID: I20211019002851 |
| Provider Name | Rachel K Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831625011 PECOS PAC ID: 6901176759 Enrollment ID: I20211026002758 |
| Provider Name | Claire Poche |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972869618 PECOS PAC ID: 1254676752 Enrollment ID: I20211129001167 |
| Provider Name | Drew Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790454395 PECOS PAC ID: 3375933187 Enrollment ID: I20211210001023 |
| Provider Name | Shelby L Mulrennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023775178 PECOS PAC ID: 5395138879 Enrollment ID: I20220204000960 |
| Provider Name | Monique Biega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184371205 PECOS PAC ID: 5890181820 Enrollment ID: I20220331000480 |
| Provider Name | Kristina V Fisher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578223681 PECOS PAC ID: 8022495670 Enrollment ID: I20220519002341 |
| Provider Name | Mandy Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316144389 PECOS PAC ID: 9638556202 Enrollment ID: I20220520000047 |
| Provider Name | Melissa A. Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386779122 PECOS PAC ID: 4183807332 Enrollment ID: I20220606000957 |
| Provider Name | Bernadette K Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023005980 PECOS PAC ID: 1850317876 Enrollment ID: I20220628003350 |
| Provider Name | Ellen Greaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346593605 PECOS PAC ID: 0840670816 Enrollment ID: I20220707003741 |
| Provider Name | Kimberly Anja Sobell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558689984 PECOS PAC ID: 1951572833 Enrollment ID: I20220805002774 |
| Provider Name | Cristian Mendoza Ruvalcaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255953543 PECOS PAC ID: 5496130999 Enrollment ID: I20220920001868 |
| Provider Name | Vivian Tsang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649992173 PECOS PAC ID: 9931576063 Enrollment ID: I20221102003052 |
| Provider Name | Amairali Lynae Blum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720644958 PECOS PAC ID: 5597132563 Enrollment ID: I20221103001670 |
| Provider Name | Cecile Steinbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659988913 PECOS PAC ID: 5597133025 Enrollment ID: I20221115000832 |
| Provider Name | Zachary Paul Krush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548986318 PECOS PAC ID: 6709254022 Enrollment ID: I20221117001950 |
| Provider Name | Monique Barte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174131254 PECOS PAC ID: 7214305051 Enrollment ID: I20221129000193 |
| Provider Name | Robyn Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952052755 PECOS PAC ID: 0042689689 Enrollment ID: I20221203000525 |
| Provider Name | Carolyn Friedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306068762 PECOS PAC ID: 2365523164 Enrollment ID: I20221206000146 |
| Provider Name | Whitney Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043967151 PECOS PAC ID: 6305216912 Enrollment ID: I20221222002155 |
| Provider Name | Natasha Marie Avalon Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518542778 PECOS PAC ID: 1052782729 Enrollment ID: I20230118000304 |
| Provider Name | Tamara Ooms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578583050 PECOS PAC ID: 9830139344 Enrollment ID: I20230124001301 |
| Provider Name | Arvenelle Chambers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295899714 PECOS PAC ID: 3072985225 Enrollment ID: I20230216000294 |
| Provider Name | Diane Elizabeth Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023729720 PECOS PAC ID: 7517330228 Enrollment ID: I20230228001937 |
| Provider Name | Dianne Camille Kelly Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467919365 PECOS PAC ID: 8325371032 Enrollment ID: I20230307002228 |
| Provider Name | Kennedie Ann Boehm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841922895 PECOS PAC ID: 6305219734 Enrollment ID: I20230307002373 |
| Provider Name | Lidija Stjepanovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487380119 PECOS PAC ID: 2769848001 Enrollment ID: I20230511002726 |
| Provider Name | Hailey Elisabeth Chamberlain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750763728 PECOS PAC ID: 3678932860 Enrollment ID: I20230706001793 |
| Provider Name | Aviel Forster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255720181 PECOS PAC ID: 7810357175 Enrollment ID: I20230718002257 |
| Provider Name | Amanda Elizabeth Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871922328 PECOS PAC ID: 6406267699 Enrollment ID: I20230915002322 |
| Provider Name | Angelica Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982386231 PECOS PAC ID: 8729432562 Enrollment ID: I20230927001526 |
| Provider Name | Musah N Iddrisu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124627054 PECOS PAC ID: 5092163782 Enrollment ID: I20231117002391 |
| Provider Name | Alisa Y Newhall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275169229 PECOS PAC ID: 6406205368 Enrollment ID: I20231218002295 |
| Provider Name | Richard Bruno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922443191 PECOS PAC ID: 0042584054 Enrollment ID: I20240130003471 |
| Provider Name | Jillian Gold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750871802 PECOS PAC ID: 0749537686 Enrollment ID: I20240216003361 |
| Provider Name | Galen Cohen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194875070 PECOS PAC ID: 7214378645 Enrollment ID: I20240515003855 |
| Provider Name | Albert Bazurto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487409819 PECOS PAC ID: 3678914835 Enrollment ID: I20240518000478 |
| Provider Name | Phuc-hau Nguyen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508206384 PECOS PAC ID: 3274975412 Enrollment ID: I20240520003433 |
Woodstock Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Se Woodstock Blvd, Portland, OR 97206 Phone: 503-236-1830 Fax: 503-236-1908 | |
Internal Medicine Consultants, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9585 Sw Washington Square Rd, Portland, OR 97223 Phone: 503-320-2121 Fax: 503-641-4158 | |
The Wellness Center Pdx Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 Ne 35th Avenue, Portland, OR 97232 Phone: 503-389-5545 | |
Providence Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5211 Ne Glisan St Bldg C, Portland, OR 97213 Phone: 503-215-6628 Fax: 503-215-6240 | |
Interstate Medical Office West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3325 N Interstate Ave, Portland, OR 97227 Phone: 800-813-2000 Fax: 503-286-6879 | |
Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301 | |
Cascadia Behavioral Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7511 Se Henry St, Portland, OR 97206 Phone: 503-771-6061 Fax: 503-771-7514 |