| Colton Jordon-michael Hafeman, DNP, FNP-BC | |
|
10215 Sw Hall Blvd, Tigard, OR 97223-8809 | |
| (503) 245-2415 | |
| Not Available |
| Full Name | Colton Jordon-michael Hafeman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 10215 Sw Hall Blvd, Tigard, 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 |
|---|---|---|---|
| 1639643943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 202007873NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain West Derm - Blackhart Pllc | 1153609813 | 105 |
| Entity Name | University Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Colton Jordon-michael Hafeman, DNP, FNP-BC 12388 Nw Ashton Dr, Banks, OR 97106-6051 Ph: (503) 313-9187 | Colton Jordon-michael Hafeman, DNP, FNP-BC 10215 Sw Hall Blvd, Tigard, OR 97223-8809 Ph: (503) 245-2415 |
Jessica Rae Gniadek, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3690 | |
Joseph Roy Zelk, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10220 Sw Greenburg Rd., Suite 150, Tigard, OR 97223 Phone: 503-255-1200 Fax: 503-408-6856 | |
Kecia Harris, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11481 Sw Hall Blvd Ste 200, Tigard, OR 97223 Phone: 503-980-4334 | |
Kailey Windsor, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16083 Sw Upper Boones Ferry Rd, Tigard, OR 97224 Phone: 503-603-9087 Fax: 503-603-9122 | |
Leslie Cody, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11481 Sw Hall Blvd Ste 200, Tigard, OR 97223 Phone: 503-980-4334 Fax: 971-200-2431 | |
Mrs. Luiza Maria Brown, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7632 Sw Durham Rd Ste 130, Tigard, OR 97224 Phone: 800-936-4756 | |
Lindsey Campbell Gustafson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13200 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-598-2000 Fax: 503-639-0920 |