Northwest Primary Care Group Pc | |
6327 Se Milwaukie Ave Portland OR 97202-5418 | |
(503) 659-4988 | |
(503) 353-1293 |
Full Name | Northwest Primary Care Group Pc |
---|---|
Speciality | Family Medicine |
Location | 6327 Se Milwaukie Ave, Portland, Oregon |
Authorized Official Name and Position | Michael Whitbeck (ADMINISTRATOR) |
Authorized Official Contact | 5036594777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northwest Primary Care Group Pc Po Box 22075 Milwaukie OR 97269-2075 Ph: (503) 659-4777 | Northwest Primary Care Group Pc 6327 Se Milwaukie Ave Portland OR 97202-5418 Ph: (503) 659-4988 |
NPI Number | 1144319658 |
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Provider Enumeration Date | 10/12/2006 |
Last Update Date | 06/03/2020 |
Medicare PECOS PAC ID | 0244125052 |
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Medicare Enrollment ID | O20040219000947 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144319658 | NPI | - | NPPES |
38D1059196 | Other | OR | CLIA |
274689 | Medicaid | OR | |
CE8055 | Other | OR | RAILROAD GROUP PTAN |
Provider Name | Elizabeth A Lebert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821077959 PECOS PAC ID: 2163410028 Enrollment ID: I20040501000154 |
Provider Name | Michael E Wilson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629052238 PECOS PAC ID: 0547250631 Enrollment ID: I20040512000949 |
Provider Name | Suvarna R Palla |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1558311688 PECOS PAC ID: 0143293738 Enrollment ID: I20040812001181 |
Provider Name | Moses J Gallegos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184607673 PECOS PAC ID: 8325933047 Enrollment ID: I20050715000995 |
Provider Name | Michelle S Alberts |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841273364 PECOS PAC ID: 0941237028 Enrollment ID: I20050720000554 |
Provider Name | Barry N Davis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356324842 PECOS PAC ID: 0840185658 Enrollment ID: I20050720001011 |
Provider Name | Patricia E Gallegos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285617779 PECOS PAC ID: 0648207613 Enrollment ID: I20050721000015 |
Provider Name | David R Maslen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033192521 PECOS PAC ID: 0840185567 Enrollment ID: I20070713000468 |
Provider Name | Yufei Zhang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013990597 PECOS PAC ID: 5395845523 Enrollment ID: I20070717000323 |
Provider Name | Joanne Wu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821175068 PECOS PAC ID: 7012008063 Enrollment ID: I20070807000035 |
Provider Name | Benjamina Rowe Brown |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700094695 PECOS PAC ID: 2365535721 Enrollment ID: I20070831000027 |
Provider Name | Barry B Rhodes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245311661 PECOS PAC ID: 9537195581 Enrollment ID: I20070904000198 |
Provider Name | Mark W Melecki |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013128743 PECOS PAC ID: 9931293636 Enrollment ID: I20070925000373 |
Provider Name | Subramaniam Seetharaman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598945131 PECOS PAC ID: 5395821011 Enrollment ID: I20080320000562 |
Provider Name | Jennifer D Herber |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093973000 PECOS PAC ID: 4082788203 Enrollment ID: I20080806000742 |
Provider Name | Alisha B Saultz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407981814 PECOS PAC ID: 0547307332 Enrollment ID: I20091028000017 |
Provider Name | Sara Becker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811970346 PECOS PAC ID: 8022903749 Enrollment ID: I20100804000244 |
Provider Name | Walter Buhl |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174506604 PECOS PAC ID: 6406741123 Enrollment ID: I20100804000289 |
Provider Name | Elizabeth Callaghan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164405692 PECOS PAC ID: 0941333405 Enrollment ID: I20100804000454 |
Provider Name | Nathalie Jacqmotte |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881677318 PECOS PAC ID: 6901939479 Enrollment ID: I20100804000524 |
Provider Name | David Mcanulty |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912981168 PECOS PAC ID: 8123913845 Enrollment ID: I20100804000658 |
Provider Name | David M Silver |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386628543 PECOS PAC ID: 4385539006 Enrollment ID: I20100810000415 |
Provider Name | Sharon E Mcneill |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710134689 PECOS PAC ID: 8527246040 Enrollment ID: I20110630000621 |
Provider Name | Leslie A Bryden |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760634877 PECOS PAC ID: 1254503329 Enrollment ID: I20111013000657 |
Provider Name | Sharlene Murphy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568788172 PECOS PAC ID: 3678719960 Enrollment ID: I20131022002060 |
Provider Name | Geoffrey Scott Staton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932248127 PECOS PAC ID: 0244453793 Enrollment ID: I20140602000997 |
Provider Name | Tuan Ngo |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1245546928 PECOS PAC ID: 1052538667 Enrollment ID: I20140805002186 |
Provider Name | Elizabeth Claire Yiu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598165318 PECOS PAC ID: 9830319581 Enrollment ID: I20141001002304 |
Provider Name | David Vitello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811038755 PECOS PAC ID: 5799090189 Enrollment ID: I20151207000630 |
Provider Name | Matthew D Moravec |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871938696 PECOS PAC ID: 7810122736 Enrollment ID: I20160613002288 |
Provider Name | Anna M Tubman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154754208 PECOS PAC ID: 6406075456 Enrollment ID: I20160912001553 |
Provider Name | Ashley K Billingsley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841744323 PECOS PAC ID: 0547557514 Enrollment ID: I20160920001645 |
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 | Jacqueline Abbott |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1477536902 PECOS PAC ID: 7810277241 Enrollment ID: I20170215001813 |
Provider Name | Cathy Stores |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245365857 PECOS PAC ID: 0143504472 Enrollment ID: I20170303001304 |
Provider Name | Kristin Sentman Bendert |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881937480 PECOS PAC ID: 2769625482 Enrollment ID: I20180126002387 |
Provider Name | Erin Amayi Magaw |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285855064 PECOS PAC ID: 3779850797 Enrollment ID: I20180906001118 |
Provider Name | Jeffrey C Dart |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023424256 PECOS PAC ID: 8123346525 Enrollment ID: I20180919001156 |
Provider Name | Magdalene Gyuricska |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780067660 PECOS PAC ID: 9931418126 Enrollment ID: I20180925000983 |
Provider Name | Karen Kuo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225513609 PECOS PAC ID: 1951647452 Enrollment ID: I20190103002082 |
Provider Name | Erin Gray |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386290617 PECOS PAC ID: 1557691425 Enrollment ID: I20190919003187 |
Provider Name | Oriol Kerri Zemko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609212729 PECOS PAC ID: 2466884556 Enrollment ID: I20191111001933 |
Provider Name | Megan Lee Bruce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235770280 PECOS PAC ID: 3971936840 Enrollment ID: I20191206000994 |
Provider Name | Honey Gwenn Robbins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114443439 PECOS PAC ID: 5496189136 Enrollment ID: I20200106000715 |
Provider Name | Betty Pei-i Shih |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851984421 PECOS PAC ID: 9537554308 Enrollment ID: I20220314000211 |
Provider Name | Katherine Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225763873 PECOS PAC ID: 1951787464 Enrollment ID: I20221006003518 |
Provider Name | Alan Esteban Johnston |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639865470 PECOS PAC ID: 0345609053 Enrollment ID: I20230628003385 |
Provider Name | Sarah Margaret Lundeen |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1285196634 PECOS PAC ID: 6305295486 Enrollment ID: I20231214002019 |
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 |