Lifeline Medical Center | |
1500 Nw Bethany Blvd Ste 200 Beaverton OR 97006-5236 | |
(814) 408-0014 | |
(503) 914-6422 |
Full Name | Lifeline Medical Center |
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Speciality | Nurse Practitioner |
Location | 1500 Nw Bethany Blvd Ste 200, Beaverton, Oregon |
Authorized Official Name and Position | Patricia Griesheimer (COO) |
Authorized Official Contact | 8142430414 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lifeline Medical Center 3159 Carpenters Park Rd Davidsville PA 15928-9223 Ph: (814) 408-0014 | Lifeline Medical Center 1500 Nw Bethany Blvd Ste 200 Beaverton OR 97006-5236 Ph: (814) 408-0014 |
NPI Number | 1265160451 |
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Provider Enumeration Date | 08/15/2022 |
Last Update Date | 09/26/2023 |
Certification Date | 09/18/2023 |
Medicare PECOS PAC ID | 3678948577 |
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Medicare Enrollment ID | O20230427002507 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265160451 | NPI | - | NPPES |
99999999999 | Medicaid | OR |
Provider Name | Terry Alicia Little |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215025481 PECOS PAC ID: 0547418857 Enrollment ID: I20190604002152 |
Provider Name | Temitayo M Olagbemi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124545645 PECOS PAC ID: 4082040290 Enrollment ID: I20200220001980 |
Provider Name | Deangella R Simpson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700328135 PECOS PAC ID: 2365724838 Enrollment ID: I20220425001398 |
Provider Name | Marilyn J Stephens |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407041775 PECOS PAC ID: 4789049073 Enrollment ID: I20230517003194 |
Provider Name | Long Hoang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861694424 PECOS PAC ID: 8820122393 Enrollment ID: I20230517003323 |
Provider Name | Tihana Sladic |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184231805 PECOS PAC ID: 6002226214 Enrollment ID: I20230601001363 |
Provider Name | Munachiso Iheonunekwu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922505908 PECOS PAC ID: 3274882352 Enrollment ID: I20230908002492 |
Provider Name | Jessica Bentura-jimenez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285392126 PECOS PAC ID: 4082068002 Enrollment ID: I20230926000066 |
Provider Name | Lakeetra Catchings |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1558664219 PECOS PAC ID: 2163874009 Enrollment ID: I20240117000568 |
Provider Name | Tameka Gibson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1265782767 PECOS PAC ID: 7517317662 Enrollment ID: I20240123004338 |
Provider Name | Jessica Norman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649954405 PECOS PAC ID: 4284070061 Enrollment ID: I20240314004302 |
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