| Christina E Kellogg-gratchner, PNP | |
| 
					445 E Main St, Hillsboro, OR 97123-4084  | |
| (503) 640-2757 | |
| (503) 640-9753 | 
| Full Name | Christina E Kellogg-gratchner | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - 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 | 
|---|---|---|---|
| 1124015631 | NPI | - | NPPES | 
| R167202 | Other | PTAN | |
| 000458 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 086000482 (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 | 
|---|---|
| Christina E Kellogg-gratchner, PNP 445 E Main St, Hillsboro, OR 97123-4084 Ph: (503) 640-2757  | Christina E Kellogg-gratchner, PNP 445 E Main St, Hillsboro, OR 97123-4084 Ph: (503) 640-2757  | 
Mrs. Christine Marie Douglas, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 535 Se Washington St, Hillsboro, OR 97123 Phone: 503-755-6703 Fax: 503-755-6704  | |
Tina M Barber, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19075 Nw Tanasbourne Dr, Suit 200, Hillsboro, OR 97124 Phone: 503-684-8252  | |
Timothy Charles Kruth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10690 Ne Cornell Rd Ste 220, Hillsboro, OR 97124 Phone: 503-848-5861 Fax: 503-848-5863  | |
Ms. Kathryn Rose Van Beeck, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19400 Nw Evergreen Pwy, Hillsboro, OR 97124 Phone: 503-645-2762  | |
Sydney Lea Larson, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7431 Ne Evergreen Pkwy Ste 100, Hillsboro, OR 97124 Phone: 503-840-3400 Fax: 503-840-3409  | |
Margaret Wittenauer-lee, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 Se 7th Ave Suite 5550, Hillsboro, OR 97123 Phone: 503-681-4273  | |
Patricia Hazel Glazier, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4660 Ne Belknap Ct, Suite 109, Hillsboro, OR 97124 Phone: 503-693-1944 Fax: 503-693-1941  |