| Debra M Clement, RN, FNP, ARNP | |
|
19300 Se 65th Avenue Legacy Meridian Park, Tualatin, OR 97062 | |
| (503) 692-7421 | |
| Not Available |
| Full Name | Debra M Clement |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 19300 Se 65th Avenue Legacy Meridian Park, Tualatin, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689990368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 60226348 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201050189 (Oregon) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Debra M Clement, RN, FNP, ARNP 3500 N Interstate Ave, Portland, OR 97227-1196 Ph: (503) 331-6170 | Debra M Clement, RN, FNP, ARNP 19300 Se 65th Avenue Legacy Meridian Park, Tualatin, OR 97062 Ph: (503) 692-7421 |
Mrs. Alice Darlene Hamilton, P.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22300 Sw Boones Ferry Rd, Tualatin, OR 97062 Phone: 503-431-5975 Fax: 503-431-5976 | |
Mackenzie Eileen Callis, APRN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18650 Sw Boones Ferry Rd Ste 3, Tualatin, OR 97062 Phone: 503-351-5858 | |
Ms. Nicole Gay Ingram, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062 Phone: 503-855-1205 | |
Mrs. Lindsay Ann Marshall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18765 Sw Boones Ferry Rd, Tualatin, OR 97062 Phone: 503-612-1000 | |
Katherine Anne Mcduffee, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18840 Sw Boones Ferry Rd, Tualatin, OR 97062 Phone: 503-332-1251 | |
Ayumi Mizuno, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6464 Sw Borland Rd Ste A2, Tualatin, OR 97062 Phone: 503-832-5429 | |
Carole L Dennison, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave, Suite 325, Tualatin, OR 97062 Phone: 503-692-1242 Fax: 503-691-3615 |