| Monique Gutierrez, MD | |
|
445 E Main St, Hillsboro, OR 97123-4084 | |
| (503) 640-2757 | |
| (503) 640-9753 |
| Full Name | Monique Gutierrez |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 445 E Main St, 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 |
|---|---|---|---|
| 1306833918 | NPI | - | NPPES |
| 023873007 | Other | OR | BLUE CROSS |
| R165963 | Other | PTAN | |
| 022740 | Medicaid | OR | |
| 3276316 | Other | OR | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD25172 (Oregon) | Primary |
| Entity Name | Hillsboro Pediatric Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245312842 PECOS PAC ID: 0143294694 Enrollment ID: O20040821000173 |
| Mailing Address | Practice Location Address |
|---|---|
| Monique Gutierrez, MD 445 E Main St, Hillsboro, OR 97123-4084 Ph: (503) 640-2757 | Monique Gutierrez, MD 445 E Main St, Hillsboro, OR 97123-4084 Ph: (503) 640-2757 |
Dr. Jeannine S Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19400 Nw Evergreen Pwy, Hillsboro, OR 97124 Phone: 503-645-2762 | |
Nanette Elaine Dudley Dahlquist, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 445 E Main St, Hillsboro, OR 97123 Phone: 503-640-2757 Fax: 503-640-9753 | |
Greg W Brown, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 445 E Main St, Hillsboro, OR 97123 Phone: 503-640-2757 Fax: 503-640-9753 | |
Vinaya B Pai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 445 E Main St, Hillsboro, OR 97123 Phone: 503-640-2757 Fax: 503-640-9753 | |
Erica Marie Hadley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7305 Se Circuit Dr Ste 270, Hillsboro, OR 97123 Phone: 503-342-9931 | |
Christy Perel Coss, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2875 Nw Stucki Ave, Hillsboro, OR 97124 Phone: 503-813-2000 | |
Karla Hennebold, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19400 Nw Evergreen Pwy, Hillsboro, OR 97124 Phone: 503-645-2762 |