| Sellwood Medical Clinic Pc | |
|
8332 Se 13th Ave Portland OR 97202-7102 | |
| (503) 595-9300 | |
| (503) 233-1892 |
| Full Name | Sellwood Medical Clinic Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8332 Se 13th Ave, Portland, Oregon |
| Authorized Official Name and Position | Morgan Munoz (BUSINESS OFFICE SUPERVISOR) |
| Authorized Official Contact | 5035959300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sellwood Medical Clinic Pc 8332 Se 13th Ave Portland OR 97202-7102 Ph: (503) 595-9300 | Sellwood Medical Clinic Pc 8332 Se 13th Ave Portland OR 97202-7102 Ph: (503) 595-9300 |
| NPI Number | 1083686554 |
|---|---|
| Provider Enumeration Date | 02/07/2006 |
| Last Update Date | 09/20/2022 |
| Medicare PECOS PAC ID | 3274526868 |
|---|---|
| Medicare Enrollment ID | O20040407001631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083686554 | NPI | - | NPPES |
| Provider Name | Jennifer H Murray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982614970 PECOS PAC ID: 4385779321 Enrollment ID: I20100317000411 |
| Provider Name | Kelly S Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407083215 PECOS PAC ID: 1951550441 Enrollment ID: I20141205001523 |
| Provider Name | Nancy Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881900603 PECOS PAC ID: 9830408756 Enrollment ID: I20151015001863 |
| Provider Name | Amanda C Krbec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518902337 PECOS PAC ID: 9638499122 Enrollment ID: I20200806000955 |
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