| Yellowhawk Tribal Health Center | |
|
46314 Timine Way Pendleton OR 97801-9417 | |
| (541) 966-9830 | |
| Not Available |
| Full Name | Yellowhawk Tribal Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 46314 Timine Way, Pendleton, Oregon |
| Authorized Official Name and Position | Kristi Lapp (CFO) |
| Authorized Official Contact | 5419669830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yellowhawk Tribal Health Center Po Box 160 Pendleton OR 97801-0160 Ph: (541) 966-9830 | Yellowhawk Tribal Health Center 46314 Timine Way Pendleton OR 97801-9417 Ph: (541) 966-9830 |
| NPI Number | 1346283488 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 07/22/2024 |
| Medicare PECOS PAC ID | 6608924121 |
|---|---|
| Medicare Enrollment ID | O20090511000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346283488 | NPI | - | NPPES |
| TRZ021 | Other | OR | MEDICARE |
| 500774697 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Rex M Quaempts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730255910 PECOS PAC ID: 1052337904 Enrollment ID: I20051019001085 |
| Provider Name | Richard G Mason |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902933401 PECOS PAC ID: 8729008602 Enrollment ID: I20051207000286 |
| Provider Name | James E Fenton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003926676 PECOS PAC ID: 5991893901 Enrollment ID: I20071108000337 |
| Provider Name | Mark Lee Yeske |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366400517 PECOS PAC ID: 0042382046 Enrollment ID: I20090828000295 |
| Provider Name | Mark S Clippinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447269774 PECOS PAC ID: 3173514031 Enrollment ID: I20110613000127 |
| Provider Name | Terrol D Marshall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861442998 PECOS PAC ID: 4789655648 Enrollment ID: I20110915000092 |
| Provider Name | Patricia J Winn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932198140 PECOS PAC ID: 8325149677 Enrollment ID: I20140106000310 |
| Provider Name | Michael R Liebling |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386691376 PECOS PAC ID: 4587565015 Enrollment ID: I20141119001032 |
| Provider Name | Atulya A Deodhar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558376053 PECOS PAC ID: 0446319685 Enrollment ID: I20150409000391 |
| Provider Name | Neha Rich-garg |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679862759 PECOS PAC ID: 2668626805 Enrollment ID: I20150903001017 |
| Provider Name | Chrisanne Kuczmarski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093021925 PECOS PAC ID: 7315246915 Enrollment ID: I20160503002345 |
| Provider Name | Elena D Ghetie |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396926093 PECOS PAC ID: 3577720499 Enrollment ID: I20160527001680 |
| Provider Name | Jay T Merritts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073920724 PECOS PAC ID: 3375837164 Enrollment ID: I20160802000869 |
| Provider Name | Daniel Fletcher Byrd |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295783017 PECOS PAC ID: 2860564861 Enrollment ID: I20170328002803 |
| Provider Name | Colleen M Thurman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942670922 PECOS PAC ID: 3870866288 Enrollment ID: I20170907000304 |
| Provider Name | Peter A Pantera |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184750358 PECOS PAC ID: 4789587668 Enrollment ID: I20180725000887 |
| Provider Name | Benjamin Stowe Winters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538508270 PECOS PAC ID: 0648410399 Enrollment ID: I20190205002365 |
| Provider Name | William Norman Sitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871575720 PECOS PAC ID: 3971537168 Enrollment ID: I20190318001431 |
| Provider Name | Francis Edward Szumski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457347965 PECOS PAC ID: 4688723315 Enrollment ID: I20190531001728 |
| Provider Name | Shawna Patrice Marion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043379456 PECOS PAC ID: 0941359475 Enrollment ID: I20190620000086 |
| Provider Name | Daniel E Creviston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841630555 PECOS PAC ID: 5092037309 Enrollment ID: I20190722000324 |
| Provider Name | James W Winde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982714879 PECOS PAC ID: 0143282251 Enrollment ID: I20191024000697 |
| Provider Name | Dusty L Dressler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144794256 PECOS PAC ID: 6507298817 Enrollment ID: I20191107000142 |
| Provider Name | Jennifer L Barden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053866632 PECOS PAC ID: 8729366398 Enrollment ID: I20201202001845 |
| Provider Name | Alina M Urriola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578571428 PECOS PAC ID: 4385535996 Enrollment ID: I20210127000177 |
| Provider Name | Cynthia E Cecil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063812923 PECOS PAC ID: 6002223393 Enrollment ID: I20210405000401 |
| Provider Name | Clinton E Kittrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215345681 PECOS PAC ID: 2860809175 Enrollment ID: I20210405001111 |
| Provider Name | Daria Sciarrone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053467647 PECOS PAC ID: 5193818300 Enrollment ID: I20210405001369 |
| Provider Name | Ellissa J Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861905358 PECOS PAC ID: 7214344472 Enrollment ID: I20210406000642 |
| Provider Name | Julie E Brandenburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306149802 PECOS PAC ID: 6305254426 Enrollment ID: I20210409000346 |
| Provider Name | Sherri L Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568432938 PECOS PAC ID: 7315848546 Enrollment ID: I20210623003174 |
| Provider Name | Milan Glumicic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750671160 PECOS PAC ID: 4385919349 Enrollment ID: I20220131000234 |
| Provider Name | Clarizza Astrero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710383682 PECOS PAC ID: 2961898986 Enrollment ID: I20220331000180 |
| Provider Name | Seth A Alford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164000972 PECOS PAC ID: 6103235692 Enrollment ID: I20220811000643 |
| Provider Name | Jerad R Croswell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619603297 PECOS PAC ID: 1153705942 Enrollment ID: I20220828000058 |
| Provider Name | Daniel F Kaminsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710952858 PECOS PAC ID: 7315029337 Enrollment ID: I20230217000409 |
| Provider Name | James D Ward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083962435 PECOS PAC ID: 5193013738 Enrollment ID: I20230408000006 |
| Provider Name | Amity L Kirkland |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447645775 PECOS PAC ID: 3274996525 Enrollment ID: I20230905000141 |
| Provider Name | Noah W Dickerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245015338 PECOS PAC ID: 7810342326 Enrollment ID: I20231018000538 |
Pendleton Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Southgate Ste 9, Pendleton, OR 97801 Phone: 541-567-1137 Fax: 541-567-2336 | |
Praxis Health, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2474 Sw Perkins Ave, Pendleton, OR 97801 Phone: 541-276-1700 Fax: 541-276-6327 | |
Harrison Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Southgate Ste 2, Pendleton, OR 97801 Phone: 541-215-1564 Fax: 541-215-1567 | |
St.anthony Hospital We Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Se Court Ave, Pendleton, OR 97801 Phone: 541-966-0508 | |
Pendleton Family Practice And Sports Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Se Dorion Ave, Pendleton, OR 97801 Phone: 541-966-8384 Fax: 541-966-8387 | |
Pendleton Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Se Court Pl, Ste 201, Pendleton, OR 97801 Phone: 541-276-1700 | |
Helping Kneads Therapeutic Massage Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Sw Frazer Ave, Suite #240, Pendleton, OR 97801 Phone: 541-379-0765 |