| Clyn Elan Alivio Cagas, | |
|
1623 N 1st St, Hermiston, OR 97838-1106 | |
| (458) 300-9014 | |
| Not Available |
| Full Name | Clyn Elan Alivio Cagas |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 1623 N 1st St, Hermiston, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811740855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 209026844 (Illinois) | Primary |
| Entity Name | Icco Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Clyn Elan Alivio Cagas, 1623 N 1st St, Hermiston, OR 97838 Ph: () - | Clyn Elan Alivio Cagas, 1623 N 1st St, Hermiston, OR 97838-1106 Ph: (458) 300-9014 |
Michelle Mcintyre, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Nw 11th St Ste E37, Hermiston, OR 97838 Phone: 541-567-5305 Fax: 541-667-3487 | |
Miss Phyllis Leppke Hansell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Nw 11th St Ste E37, Hermiston, OR 97838 Phone: 541-567-5305 Fax: 541-667-3487 | |
Mrs. Joanna Marie Lewis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 W Elm Ave Ste 110, Hermiston, OR 97838 Phone: 541-567-2995 Fax: 541-567-7720 | |
Linda Joan Cornwell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Nw 11th St, Hermiston, OR 97838 Phone: 541-667-3400 | |
Julie Kay Hereford, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Nw 11th St, Hermiston, OR 97838 Phone: 541-667-3400 | |
Dawn Headings, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Nw 11th St, #e15, Hermiston, OR 97838 Phone: 541-567-6434 | |
Vicki Lynne Kent, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 955 W Orchard Ave Ste A, Hermiston, OR 97838 Phone: 541-289-1637 Fax: 541-567-2552 |