| Eleonora Shukshina, NP | |
|
689 Nw Burnside Rd, Gresham, OR 97030-3739 | |
| (503) 382-8100 | |
| Not Available |
| Full Name | Eleonora Shukshina |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 689 Nw Burnside Rd, Gresham, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821812934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 263643 (Arizona) | Primary |
| Entity Name | Columbia Pain And Spine Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972813962 PECOS PAC ID: 2769738301 Enrollment ID: O20180711003656 |
| Mailing Address | Practice Location Address |
|---|---|
| Eleonora Shukshina, NP 6760 E Northridge St, Mesa, AZ 85215-1671 Ph: (602) 565-3792 | Eleonora Shukshina, NP 689 Nw Burnside Rd, Gresham, OR 97030-3739 Ph: (503) 382-8100 |
Vivian B Vargo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St, Gresham, OR 97030 Phone: 503-988-5155 Fax: 503-988-5185 | |
Elana Underwood Scharff, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520 Fax: 503-674-1599 | |
Renae Rykaczewski, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St Ste 300, Gresham, OR 97030 Phone: 530-988-5155 | |
Alma San Juan, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520 | |
Katie L Ketterling-thornburg, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 440 Nw Division St, Gresham, OR 97030 Phone: 503-215-9500 | |
Ms. Heike K. Huchler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-666-5050 | |
Robert Mayer, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 440 Nw Division St, Gresham, OR 97030 Phone: 503-215-9500 |