| Vita Post Acute Medical, Pllc | |
|
1778 Ne Cornell Rd Hillsboro OR 97124-2740 | |
| (855) 722-9700 | |
| Not Available |
| Full Name | Vita Post Acute Medical, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1778 Ne Cornell Rd, Hillsboro, Oregon |
| Authorized Official Name and Position | Mike Kubik (CEO) |
| Authorized Official Contact | 8557229700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Post Acute Medical, Pllc Po Box 73488 Puyallup WA 98373-0488 Ph: (855) 722-9700 | Vita Post Acute Medical, Pllc 1778 Ne Cornell Rd Hillsboro OR 97124-2740 Ph: (855) 722-9700 |
| NPI Number | 1477187763 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 11/07/2022 |
| Medicare PECOS PAC ID | 0749611291 |
|---|---|
| Medicare Enrollment ID | O20200515002370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477187763 | NPI | - | NPPES |
| Provider Name | Paul T Armerding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881635613 PECOS PAC ID: 0042296030 Enrollment ID: I20040629001000 |
| Provider Name | Melinda P Gitnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619212446 PECOS PAC ID: 5395985543 Enrollment ID: I20130711000213 |
| Provider Name | Renee L Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154613941 PECOS PAC ID: 2961636881 Enrollment ID: I20131009000309 |
| Provider Name | Rachel Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306031703 PECOS PAC ID: 3971649088 Enrollment ID: I20170911002452 |
| Provider Name | Mark W Cheng |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871899740 PECOS PAC ID: 4284867995 Enrollment ID: I20180410002924 |
| Provider Name | Pooja Jasmine Saini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073971693 PECOS PAC ID: 0244502763 Enrollment ID: I20191210002477 |
| Provider Name | Tyshayna Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538723507 PECOS PAC ID: 0042543605 Enrollment ID: I20200428000409 |
| Provider Name | Amir M Aref |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063522126 PECOS PAC ID: 3971692427 Enrollment ID: I20200626002042 |
| Provider Name | Rijesh Raj Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316261670 PECOS PAC ID: 5890826721 Enrollment ID: I20200703000027 |
| Provider Name | Keenan Michael Griego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346858404 PECOS PAC ID: 4385069608 Enrollment ID: I20201202002309 |
| Provider Name | Kaitlin Price Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083215073 PECOS PAC ID: 4183037963 Enrollment ID: I20210115002297 |
| Provider Name | Matthew M Hesse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861008716 PECOS PAC ID: 6002220019 Enrollment ID: I20210419001842 |
| Provider Name | Yukari Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689160178 PECOS PAC ID: 8820336142 Enrollment ID: I20211130001654 |
| Provider Name | Xin Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689671893 PECOS PAC ID: 6305816943 Enrollment ID: I20220418001234 |
| Provider Name | Jodhvir Sarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972816718 PECOS PAC ID: 8628202124 Enrollment ID: I20220525001568 |
| Provider Name | Tania Jeanette Modeliste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346984606 PECOS PAC ID: 9739567215 Enrollment ID: I20220613001566 |
| Provider Name | Andrea Catrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740763994 PECOS PAC ID: 7810233707 Enrollment ID: I20220623003407 |
| Provider Name | Don Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720344617 PECOS PAC ID: 2567770282 Enrollment ID: I20221028002745 |
| Provider Name | Yolanda Nebinsem Nkola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750006151 PECOS PAC ID: 4688042526 Enrollment ID: I20221123002814 |
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