Mrs Kristen G Shaffer, FNP-C | |
4550 Kruse Way Ste 125, Lake Oswego, OR 97035-3533 | |
(503) 457-7100 | |
(877) 767-3163 |
Full Name | Mrs Kristen G Shaffer |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4550 Kruse Way Ste 125, Lake Oswego, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164772893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 101.0097262 (Vermont) | Secondary |
363LF0000X | Nurse Practitioner - Family | 201402108NP-PP (Oregon) | Primary |
Entity Name | Legacy Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristen G Shaffer, FNP-C 5048 Se Knapp St, Portland, OR 97206-8342 Ph: (415) 516-6143 | Mrs Kristen G Shaffer, FNP-C 4550 Kruse Way Ste 125, Lake Oswego, OR 97035-3533 Ph: (503) 457-7100 |
Susan Ranae Battle, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Centerpointe Dr, Lake Oswego, OR 97035 Phone: 541-214-6301 Fax: 855-510-1784 | |
Krisa Fenton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 Phone: 615-465-9443 | |
Miss Amanda Magdalena Kinder, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 | |
Mrs. Amanda L Swinehart, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5299 Lakeview Blvd, Lake Oswego, OR 97035 Phone: 740-215-1612 | |
Dr. Kristine Susan White, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14523 Westlake Dr Ste 25, Lake Oswego, OR 97035 Phone: 503-854-7160 Fax: 503-886-8961 | |
Anthony Hernandez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 Phone: 503-603-7355 | |
Tierney Newman, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035 Phone: 503-216-1500 |