| Native American Rehabilitation Association, Inc. | |
|
703 Ne Hancock St Portland OR 97212-3955 | |
| (503) 230-9875 | |
| (503) 331-3441 |
| Full Name | Native American Rehabilitation Association, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 703 Ne Hancock St, Portland, Oregon |
| Authorized Official Name and Position | Sarah Ayers (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5033679089 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Native American Rehabilitation Association, Inc. 1776 Sw Madison St Portland OR 97205 Ph: (503) 224-1044 | Native American Rehabilitation Association, Inc. 703 Ne Hancock St Portland OR 97212-3955 Ph: (503) 230-9875 |
| NPI Number | 1396734364 |
|---|---|
| Provider Enumeration Date | 10/20/2005 |
| Last Update Date | 03/29/2024 |
| Medicare PECOS PAC ID | 2668361585 |
|---|---|
| Medicare Enrollment ID | O20040310001435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396734364 | NPI | - | NPPES |
| 126370 | Medicaid | OR | |
| 2006165 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Marcela J Vinocur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750370680 PECOS PAC ID: 6305827916 Enrollment ID: I20040528000740 |
| Provider Name | Artice E Geary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508856188 PECOS PAC ID: 6002855004 Enrollment ID: I20050428001011 |
| Provider Name | Amy S Earhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790885796 PECOS PAC ID: 4486660578 Enrollment ID: I20060227000572 |
| Provider Name | Sheila Nm Heuschkel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689703183 PECOS PAC ID: 1456410224 Enrollment ID: I20081107000552 |
| Provider Name | Margaret M Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437164951 PECOS PAC ID: 7113825258 Enrollment ID: I20081205000809 |
| Provider Name | Christopher M Cirino |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740382613 PECOS PAC ID: 0042261992 Enrollment ID: I20100118000072 |
| Provider Name | Susannah Martell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912358730 PECOS PAC ID: 6103104518 Enrollment ID: I20161104001170 |
| Provider Name | Heidi Marie Nicewander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023414463 PECOS PAC ID: 0547539421 Enrollment ID: I20170710000091 |
| Provider Name | Lillian J Yasana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255693073 PECOS PAC ID: 9638442387 Enrollment ID: I20170831002781 |
| Provider Name | Judy Ann Hart |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1720094956 PECOS PAC ID: 9537409529 Enrollment ID: I20190329001891 |
| Provider Name | Perla Castillo Palacios |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477136901 PECOS PAC ID: 8921417387 Enrollment ID: I20210514001488 |
| Provider Name | David Carl Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255095550 PECOS PAC ID: 8426432964 Enrollment ID: I20220831003184 |
| Provider Name | Tamara Renee Sanderson Dissanayake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457771305 PECOS PAC ID: 5193945806 Enrollment ID: I20221215003161 |
| Provider Name | Hannah R Zweifel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609404755 PECOS PAC ID: 4880019595 Enrollment ID: I20230203000433 |
| Provider Name | Lindy D Resner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093338485 PECOS PAC ID: 2860858164 Enrollment ID: I20230511000838 |
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 |