| Jonathan Clark Crist, MD | |
|
2875 Ne Stucki Ave, Hillsboro, OR 97124-5806 | |
| (971) 310-1000 | |
| Not Available |
| Full Name | Jonathan Clark Crist |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 22 Years |
| Location | 2875 Ne Stucki Ave, Hillsboro, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134252851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | MD28274 (Oregon) | Primary |
| 207Q00000X | Family Medicine | 6604923-8905 (Utah) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Portland Clinic | 8224942867 | 96 |
| Entity Name | Portland Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558379099 PECOS PAC ID: 8224942867 Enrollment ID: O20031118000101 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Clark Crist, MD 2875 Ne Stucki Ave, Hillsboro, OR 97124-5806 Ph: (971) 310-1000 | Jonathan Clark Crist, MD 2875 Ne Stucki Ave, Hillsboro, OR 97124-5806 Ph: (971) 310-1000 |
Andrew G Janssen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7529 Se Tualatin Valley Hwy, Hillsboro, OR 97123 Phone: 503-681-4369 | |
Dr. Derrick Eugene Custino, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124 Phone: 503-645-2762 Fax: 503-690-5023 | |
Michael Powel Hicken, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5295 Ne Elam Young Pkwy, Suite 180, Hillsboro, OR 97124 Phone: 503-615-0960 Fax: 503-615-8572 | |
Dr. Judith Marie Kemp, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6244 Ne Brighton St, Hillsboro, OR 97124 Phone: 503-615-3100 Fax: 503-615-8572 | |
Van Anh T Nguyen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 265 Se Oak St, Hillsboro, OR 97123 Phone: 503-216-0850 | |
Ann G. Tseng, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10690 Ne Cornell Rd Ste 220, Hillsboro, OR 97124 Phone: 503-848-5861 | |
Dr. Joseph P Mccarthy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 561 Se Oak St, Hillsboro, OR 97123 Phone: 503-693-8007 Fax: 503-693-9109 |