| Jessica Lee Smiley, DO | |
| 
					5940 Ulali Dr Ne, Keizer, OR 97303-1500  | |
| (800) 813-2000 | |
| Not Available | 
| Full Name | Jessica Lee Smiley | 
|---|---|
| Gender | Female | 
| Speciality | Family Medicine | 
| Location | 5940 Ulali Dr Ne, Keizer, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841601846 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | PG168239 (Oregon) | Secondary | 
| 207Q00000X | Family Medicine | DO184102 (Oregon) | Primary | 
| Entity Name | Kaiser Foundation Health Plan Of The Northwest | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jessica Lee Smiley, DO 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 Ph: (800) 813-2000  | Jessica Lee Smiley, DO 5940 Ulali Dr Ne, Keizer, OR 97303-1500 Ph: (800) 813-2000  | 
Mr. Micaiah Matthew Kuzma, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5900 Inland Shores Way, Keizer, OR 97303 Phone: 503-399-2424 Fax: 503-589-6240  | |
Dr. Katherine Michelle Runyan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5940 Ulali Dr Ne, Keizer, OR 97303 Phone: 800-813-2000  | |
Quentin Wandyke Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5100 River Rd N, Keizer, OR 97303 Phone: 503-393-2533 Fax: 503-393-5978  | |
Johan Kohler, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Inland Shores Way N, Keizer, OR 97303 Phone: 503-399-2470 Fax: 503-375-7429  | |
Dr. Ronald Matthew Palm, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 550 Dietz Ave Ne, Keizer, OR 97303 Phone: 503-393-0540  | |
Lesley E Garber, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Inland Shores Way N, Keizer, OR 97303 Phone: 503-399-2424 Fax: 503-375-7429  | |
Anne A Nunes, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Inland Shores Way N, Keizer, OR 97303 Phone: 503-399-2424 Fax: 503-375-7429  |