| Theodore Thorsten Nyquist, MD | |
|
2163 Nw 2nd Street, Mcminnville, OR 97128-9108 | |
| (503) 472-4197 | |
| (503) 434-2886 |
| Full Name | Theodore Thorsten Nyquist |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 2163 Nw 2nd Street, Mcminnville, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609972926 | NPI | - | NPPES |
| 056221 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD18091 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Care Of The Northwest, Llc | Portland, OR | Hospice |
| Willamette Valley Medical Center | Mcminnville, OR | Hospital |
| Providence Newberg Medical Center | Newberg, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Praxis Health Pc | 8325941446 | 148 |
| 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 |
|---|---|
| Theodore Thorsten Nyquist, MD Po Box 1517, Pendleton, OR 97801-0410 Ph: (877) 708-1119 | Theodore Thorsten Nyquist, MD 2163 Nw 2nd Street, Mcminnville, OR 97128-9108 Ph: (503) 472-4197 |
Jan Radzik, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 349 Se Baker St, Mcminnville, OR 97128 Phone: 503-472-9438 Fax: 503-472-9439 | |
Dr. Jennifer Elaine Mueller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Ne May Ln, Mcminnville, OR 97128 Phone: 503-472-1338 Fax: 503-434-8597 | |
Dr. Klaus Martin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 310 Southeast Baker Street, Mcminnville, OR 97128 Phone: 503-472-8433 Fax: 503-472-8679 | |
John D Nelson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 821 Ne Highway 99w Ste A, Mcminnville, OR 97128 Phone: 503-472-4649 Fax: 503-434-1679 | |
Brandi Acacia Mendonca, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2163 Nw 2nd St, Mcminnville, OR 97128 Phone: 503-472-4197 Fax: 503-434-2886 | |
Tajwar Taher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 971-901-3908 | |
Sunisa Chanyaputhipong, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 115 Ne May Ln, Mcminnville, OR 97128 Phone: 503-472-1338 Fax: 503-434-8597 |