Ohsu Outpatient Clinical Services Llc | |
11200 Sw Murray Scholls Pl Ste 100 Beaverton OR 97007-9816 | |
(503) 418-9470 | |
Not Available |
Full Name | Ohsu Outpatient Clinical Services Llc |
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Speciality | General Practice |
Location | 11200 Sw Murray Scholls Pl Ste 100, Beaverton, Oregon |
Authorized Official Name and Position | Jennifer Doll (SENIOR VICE PRESIDENT) |
Authorized Official Contact | 5034948548 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ohsu Outpatient Clinical Services Llc Po Box 3590 Portland OR 97208-3590 Ph: () - | Ohsu Outpatient Clinical Services Llc 11200 Sw Murray Scholls Pl Ste 100 Beaverton OR 97007-9816 Ph: (503) 418-9470 |
NPI Number | 1336824440 |
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Provider Enumeration Date | 06/16/2023 |
Last Update Date | 06/16/2023 |
Medicare PECOS PAC ID | 7315300571 |
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Medicare Enrollment ID | O20230906000508 |
Identifier | Type | State | Issuer |
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1336824440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Valerie J Priest |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912989047 PECOS PAC ID: 8527094093 Enrollment ID: I20050715000475 |
Provider Name | Shayne N Willis Baker |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821237652 PECOS PAC ID: 7810922705 Enrollment ID: I20050929000201 |
Provider Name | Scott W Beadnell |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629206248 PECOS PAC ID: 7113072299 Enrollment ID: I20090826000615 |
Provider Name | Teresa F Wright |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447704812 PECOS PAC ID: 2264781913 Enrollment ID: I20180814002497 |
Provider Name | Angelo Joseph Bologna |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558843870 PECOS PAC ID: 8224372917 Enrollment ID: I20191004002711 |
Provider Name | Paula Tran |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720617798 PECOS PAC ID: 6002237179 Enrollment ID: I20200527001768 |
Provider Name | Lindsay Brown |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508098393 PECOS PAC ID: 5991841942 Enrollment ID: I20200601002992 |
Provider Name | Suzanne L. Bauer |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851455414 PECOS PAC ID: 5799107876 Enrollment ID: I20200618000211 |
Provider Name | Marvin C Smith |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730718768 PECOS PAC ID: 5294157236 Enrollment ID: I20200622001809 |
Provider Name | Cecelia Micaela Gutierrez |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518096353 PECOS PAC ID: 2668713843 Enrollment ID: I20200622001971 |
Provider Name | Kim Marie Osterberger |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790079572 PECOS PAC ID: 8921420852 Enrollment ID: I20200623002909 |
Provider Name | Whitney Leipzig |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356617583 PECOS PAC ID: 7719300268 Enrollment ID: I20200701000535 |
Provider Name | Devon L Hordes |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1336525294 PECOS PAC ID: 7517384019 Enrollment ID: I20200824000659 |
Provider Name | Sarah Manning |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982233722 PECOS PAC ID: 7810317690 Enrollment ID: I20201015003262 |
Provider Name | Sara Hill |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598931826 PECOS PAC ID: 1658781778 Enrollment ID: I20201030002346 |
Provider Name | Mollie Ann Suits |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821627266 PECOS PAC ID: 9638581721 Enrollment ID: I20201214002972 |
Provider Name | Diane Kyung-ah Kwon |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942894209 PECOS PAC ID: 7618385238 Enrollment ID: I20210421000516 |
Provider Name | Catherine Porycki |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1821764879 PECOS PAC ID: 1355796400 Enrollment ID: I20231010004174 |
Provider Name | Rasika Hatti |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114592649 PECOS PAC ID: 5991105447 Enrollment ID: I20231012002154 |
Provider Name | Nylah Hazard |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689154502 PECOS PAC ID: 6608110036 Enrollment ID: I20231018003685 |
Provider Name | Analisa Vanoostrum |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972145597 PECOS PAC ID: 6709231293 Enrollment ID: I20231018004149 |
Provider Name | Mattie Roesch-orozco |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619564515 PECOS PAC ID: 4486068913 Enrollment ID: I20231019002781 |
Provider Name | Kelsey Huntington |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649978909 PECOS PAC ID: 9931555356 Enrollment ID: I20231020002368 |
Provider Name | Maile Elizabeth Altier |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194496786 PECOS PAC ID: 8325494990 Enrollment ID: I20231102001803 |
Provider Name | Jamal Edwards |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891217709 PECOS PAC ID: 0749666352 Enrollment ID: I20231103003499 |
Provider Name | Christen Elizabeth Johnson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841810868 PECOS PAC ID: 5092162495 Enrollment ID: I20231107000924 |
Provider Name | Jayson Manning |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376220038 PECOS PAC ID: 0749638351 Enrollment ID: I20231120003387 |
Provider Name | Shilpa Patil |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881444917 PECOS PAC ID: 1052753043 Enrollment ID: I20240522001488 |
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