| Laura Marie Vanderwerff, MD | |
|
24800 Se Stark St, Gresham, OR 97030-3378 | |
| (503) 667-1122 | |
| (503) 413-7361 |
| Full Name | Laura Marie Vanderwerff |
|---|---|
| Gender | Female |
| Speciality | Critical Care (intensivists) |
| Experience | 22 Years |
| Location | 24800 Se Stark St, Gresham, 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 |
|---|---|---|---|
| 1255360350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD26586 (Oregon) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | MD26586 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 635 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Marie Vanderwerff, MD Po Box 3777, Portland, OR 97208-3777 Ph: (503) 957-3426 | Laura Marie Vanderwerff, MD 24800 Se Stark St, Gresham, OR 97030-3378 Ph: (503) 667-1122 |
Kathrin Rose Meyers, D.O. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951 | |
Dr. Kathryn L Huyssoon, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 24988 Se Stark St, Ste 300, Gresham, OR 97030 Phone: 503-674-5818 Fax: 503-674-6709 | |
Dr. Brittany Nicole Kishel, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951 | |
Amy Katherine Chaumeton, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1580 Fax: 503-674-1581 | |
Aura Theresa Bondoc De Olazo, M.D. Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 24988 Se Stark St, Mob 3 Suite 220, Gresham, OR 97030 Phone: 503-674-1580 Fax: 503-674-1581 | |
Dr. Brittney B Mensen, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Nw Council Dr Ste 101, Gresham, OR 97030 Phone: 503-665-8176 Fax: 503-665-8178 | |
Jennifer Rodriguez, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 25050 Se Stark St, Gresham, OR 97030 Phone: 503-674-1848 |