| Multnomah Family Care Center | |
|
7689 Sw Capitol Hwy Portland OR 97219-2475 | |
| (503) 719-8625 | |
| Not Available |
| Full Name | Multnomah Family Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 7689 Sw Capitol Hwy, Portland, Oregon |
| Authorized Official Name and Position | Kirsten Marie Winn Carr (PRESIDENT) |
| Authorized Official Contact | 5037406693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Multnomah Family Care Center Po Box 80884 Portland OR 97280-1884 Ph: (503) 719-8625 | Multnomah Family Care Center 7689 Sw Capitol Hwy Portland OR 97219-2475 Ph: (503) 719-8625 |
| NPI Number | 1689983108 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 06/10/2011 |
| Medicare PECOS PAC ID | 3072790203 |
|---|---|
| Medicare Enrollment ID | O20110615000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689983108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kirsten Carr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225054646 PECOS PAC ID: 2567467152 Enrollment ID: I20061004000164 |
| Provider Name | Jacqueline M Lentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225368368 PECOS PAC ID: 4688704224 Enrollment ID: I20100609000128 |
| Provider Name | Evelyn Torres Carpiet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750458964 PECOS PAC ID: 3779608773 Enrollment ID: I20131001000219 |
| Provider Name | Christina Oliver |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1386953115 PECOS PAC ID: 2567617491 Enrollment ID: I20150115001080 |
| Provider Name | Jami Lynn Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912428798 PECOS PAC ID: 9931472511 Enrollment ID: I20170901001025 |
| Provider Name | Viktoriya Dimaku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619404316 PECOS PAC ID: 6002189347 Enrollment ID: I20170907002231 |
| Provider Name | Sarah S Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417204041 PECOS PAC ID: 7911270228 Enrollment ID: I20170908001210 |
| Provider Name | Iris N Briand |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871017723 PECOS PAC ID: 5890069702 Enrollment ID: I20170915001584 |
| Provider Name | Sarah M Bereznai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679086938 PECOS PAC ID: 0345509865 Enrollment ID: I20180109000456 |
| Provider Name | Renell N Kumeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982247458 PECOS PAC ID: 3072941277 Enrollment ID: I20200323001819 |
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