| Mckenzie Hansen, | |
|
2011 4th St, La Grande, OR 97850-2511 | |
| (541) 962-7808 | |
| (541) 429-6661 |
| Full Name | Mckenzie Hansen |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2011 4th St, La Grande, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639952930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 64324 (Idaho) | Primary |
| Entity Name | Praxis Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821068164 PECOS PAC ID: 8325941446 Enrollment ID: O20040128000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenzie Hansen, Po Box 1517, Pendleton, OR 97801-0410 Ph: (541) 278-4332 | Mckenzie Hansen, 2011 4th St, La Grande, OR 97850-2511 Ph: (541) 962-7808 |
Bradley Jack Tishman, Family Medicine Medicare: Medicare Enrolled Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 Fax: 541-975-5120 | |
Dr. Michelle Tolle, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 Fax: 541-975-5120 | |
Tracey Kathleen Tracy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 Fax: 541-975-5120 | |
Brooke Davis, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 Fax: 541-975-5120 | |
Dr. Ellen K Schoenfelder, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Sunset Drive, Suite C, La Grande, OR 97850 Phone: 541-963-4139 Fax: 541-963-4412 | |
Dr. Bryan Richard Conklin, MD PC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2011 Fourth Street, La Grande, OR 97850 Phone: 541-963-4139 Fax: 541-963-4412 | |
Debra Studer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 Fax: 541-975-5120 |