| P3 Health Partners-oregon Llc | |
|
2525 12th St Se Ste 240250 Salem OR 97302-2281 | |
| (971) 701-9058 | |
| Not Available |
| Full Name | P3 Health Partners-oregon Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2525 12th St Se Ste 240250, Salem, Oregon |
| Authorized Official Name and Position | Amir Bacchus (CMO) |
| Authorized Official Contact | 7029103950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| P3 Health Partners-oregon Llc 2370 Corporate Cir Ste 300 Henderson NV 89074-7760 Ph: (702) 910-3950 | P3 Health Partners-oregon Llc 2525 12th St Se Ste 240250 Salem OR 97302-2281 Ph: (971) 701-9058 |
| NPI Number | 1831708916 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 07/24/2020 |
| Medicare PECOS PAC ID | 1355769787 |
|---|---|
| Medicare Enrollment ID | O20200916001023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831708916 | NPI | - | NPPES |
| PENDING | Medicaid | OR |
| Provider Name | Christine M Seals |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164412755 PECOS PAC ID: 5799777173 Enrollment ID: I20050629001050 |
| Provider Name | Candace M Hatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023081528 PECOS PAC ID: 8921024415 Enrollment ID: I20051024000848 |
| Provider Name | Catia H Gargan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063461242 PECOS PAC ID: 2769433663 Enrollment ID: I20080303000289 |
| Provider Name | Douglas D Eliason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306909288 PECOS PAC ID: 2264598606 Enrollment ID: I20090310000100 |
| Provider Name | Casey J Lulay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295151686 PECOS PAC ID: 8123242658 Enrollment ID: I20140818002191 |
| Provider Name | Marci L Cogdill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518362235 PECOS PAC ID: 4981927464 Enrollment ID: I20150109000008 |
| Provider Name | Vanessa Darnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679806137 PECOS PAC ID: 2567508617 Enrollment ID: I20180725003458 |
| Provider Name | Jennifer J Manson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174098180 PECOS PAC ID: 3072858968 Enrollment ID: I20181220003240 |
| Provider Name | Linda L Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033182522 PECOS PAC ID: 9335109149 Enrollment ID: I20201214001732 |
| Provider Name | Kelly L Watters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942214408 PECOS PAC ID: 6204834286 Enrollment ID: I20201229001183 |
| Provider Name | Heidi Ann Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700967304 PECOS PAC ID: 0547241820 Enrollment ID: I20201229002973 |
| Provider Name | Schadrey L. Bonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023475282 PECOS PAC ID: 2668777525 Enrollment ID: I20201229003122 |
| Provider Name | Karisa K Son |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780064212 PECOS PAC ID: 9436441284 Enrollment ID: I20201230002770 |
| Provider Name | Julian Kate Tuttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528444544 PECOS PAC ID: 3375852403 Enrollment ID: I20210104001203 |
| Provider Name | Foluke Uche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841472438 PECOS PAC ID: 3072698885 Enrollment ID: I20210105000112 |
| Provider Name | Hayley Kuhn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326454307 PECOS PAC ID: 7810116415 Enrollment ID: I20210105000698 |
| Provider Name | Theresa Anne Brinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659703528 PECOS PAC ID: 9931334927 Enrollment ID: I20210105001631 |
| Provider Name | Deborah Ann Koopman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831741594 PECOS PAC ID: 2163752148 Enrollment ID: I20210105002625 |
| Provider Name | Jeffrey G Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568624187 PECOS PAC ID: 2567622707 Enrollment ID: I20210107002375 |
| Provider Name | Heather Elisabeth Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801309919 PECOS PAC ID: 7315203924 Enrollment ID: I20210111000886 |
| Provider Name | Robert K Ritchey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093763831 PECOS PAC ID: 1759379647 Enrollment ID: I20210112001733 |
| Provider Name | Carmelita Laarni Villegas Payos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154500759 PECOS PAC ID: 8123209558 Enrollment ID: I20210114002655 |
| Provider Name | Tricia Agustin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063691673 PECOS PAC ID: 4688856487 Enrollment ID: I20210127001900 |
| Provider Name | Mary M Nara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053369272 PECOS PAC ID: 1052384138 Enrollment ID: I20210201001074 |
| Provider Name | Julia Vivien Navalta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871017400 PECOS PAC ID: 7416210018 Enrollment ID: I20210308001672 |
| Provider Name | Roopa Dani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063482180 PECOS PAC ID: 2769402528 Enrollment ID: I20210329001187 |
| Provider Name | Troy Bertoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518189448 PECOS PAC ID: 7315032760 Enrollment ID: I20210923003501 |
| Provider Name | Anastasia Karamanides |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972526218 PECOS PAC ID: 2961436506 Enrollment ID: I20211014002069 |
| Provider Name | Marianne Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528720414 PECOS PAC ID: 4587053228 Enrollment ID: I20211117003269 |
| Provider Name | Yasmine Swistek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376953513 PECOS PAC ID: 7416173166 Enrollment ID: I20211216001684 |
| Provider Name | Matthew Szvetecz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326086950 PECOS PAC ID: 8224941281 Enrollment ID: I20220914001471 |
| Provider Name | Kristin Everett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679566111 PECOS PAC ID: 8224213202 Enrollment ID: I20220927001994 |
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