| Tetyana O Odarich, MD | |
|
9300 Se 91st Ave Ste 201, Happy Valley, OR 97086-3762 | |
| (503) 387-7111 | |
| (503) 576-7706 |
| Full Name | Tetyana O Odarich |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 9300 Se 91st Ave Ste 201, Happy Valley, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437460193 | NPI | - | NPPES |
| 2020971 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD182578 (Oregon) | Primary |
| 207Q00000X | Family Medicine | ML60163177 (Washington) | Secondary |
| Entity Name | The Vancouver Clinic Inc Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
| 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: O20040220000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Tetyana O Odarich, MD 9300 Se 91st Ave Ste 201, Happy Valley, OR 97086-3762 Ph: (503) 387-7111 | Tetyana O Odarich, MD 9300 Se 91st Ave Ste 201, Happy Valley, OR 97086-3762 Ph: (503) 387-7111 |
Mhairi Ann Mcfarlane, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16180 Se Sunnyside Rd, Suite 102, Happy Valley, OR 97015 Phone: 503-582-4900 | |
Elizabeth D. Orth, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16180 Se Sunnyside Rd, Suite 102, Happy Valley, OR 97015 Phone: 503-582-4900 | |
Alan Craig Thom, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 Se 91st Ave Ste 220, Happy Valley, OR 97086 Phone: 503-239-7030 | |
Peter Josef St George, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015 Phone: 503-582-4900 | |
Kevin J Grainger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015 Phone: 503-582-4900 | |
Jeffrey P Pavelka, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16180 Se Sunnyside Rd, Suite 102, Happy Valley, OR 97015 Phone: 503-582-4900 |