| Dr Breanna Summers Thompson, DO | |
|
16770 Sw Edy Rd Ste 102, Sherwood, OR 97140-9679 | |
| (503) 216-9600 | |
| Not Available |
| Full Name | Dr Breanna Summers Thompson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 16770 Sw Edy Rd Ste 102, Sherwood, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710129473 | NPI | - | NPPES |
| 71333240 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | DR.0049522 (Colorado) | Secondary |
| 208000000X | Pediatrics | DO202589 (Oregon) | Secondary |
| 207Q00000X | Family Medicine | DO202589 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Newberg Medical Center | Newberg, OR | Hospital |
| Willamette Valley Medical Center | Mcminnville, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1338 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Entity Name | Willamette Valley Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790740520 PECOS PAC ID: 6103729314 Enrollment ID: O20040127000785 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Breanna Summers Thompson, DO Po Box 3158, Portland, OR 97208-3158 Ph: () - | Dr Breanna Summers Thompson, DO 16770 Sw Edy Rd Ste 102, Sherwood, OR 97140-9679 Ph: (503) 216-9600 |
Cheryl Catherine Pierson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd, Suite 102, Sherwood, OR 97140 Phone: 503-216-9600 | |
Dr. Patricia Eden Fernandez Millan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd, Suite 102, Sherwood, OR 97140 Phone: 503-216-9600 | |
Amy L Gerhard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd, Sherwood, OR 97140 Phone: 503-216-9600 Fax: 503-216-9650 | |
Lindsay Megan Sparks, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd Ste 102, Sherwood, OR 97140 Phone: 503-216-9600 | |
Andrew D Glass, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 16770 Sw Edy Rd, Suite 102, Sherwood, OR 97140 Phone: 503-215-9600 | |
Raymond F Higby, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16770 Sw Edy Rd, Sherwood, OR 97140 Phone: 503-216-9600 Fax: 503-216-9650 | |
Derrick Evan Hall, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd Ste 102, Sherwood, OR 97140 Phone: 503-216-9600 |