| Kim M Heydon, MD | |
|
5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 | |
| (503) 216-1600 | |
| (503) 216-1610 |
| Full Name | Kim M Heydon |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 5555 Ne Elam Young Pkwy, Hillsboro, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881649705 | NPI | - | NPPES |
| 286956 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD23574 (Oregon) | Primary |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| 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 |
|---|---|
| Kim M Heydon, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Kim M Heydon, MD 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 Ph: (503) 216-1600 |
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 |