| Graham A Phelps, FNP-BC | |
|
16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015-6302 | |
| (503) 582-4900 | |
| Not Available |
| Full Name | Graham A Phelps |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 16180 Se Sunnyside Rd Ste 102, Happy Valley, 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 |
|---|---|---|---|
| 1114358033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209-011006 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201600270NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Newberg Medical Center | Newberg, OR | Hospital |
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
| Providence Willamette Falls Medical Center | Oregon city, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1423 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Graham A Phelps, FNP-BC Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Graham A Phelps, FNP-BC 16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015-6302 Ph: (503) 582-4900 |
Megan Bruce, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16144 Se Happy Valley Town Center Dr Ste 101, Happy Valley, OR 97086 Phone: 503-659-4988 Fax: 833-428-1891 |
Anup Mammen Varghese, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9300 Se 91st Ave Ste 400, Happy Valley, OR 97086 Phone: 503-775-6500 |
Kristi Keats, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11995 Se Sunnyside Rd, Happy Valley, OR 97015 Phone: 888-227-3312 |
Mr. Andrew Curtis Gandert, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9738 Se Parkwood Way, Happy Valley, OR 97086 Phone: 508-830-9491 |
Dorothy Moriniti, MSN, RN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9300 Se 91st Ave Ste 200, Happy Valley, OR 97086 Phone: 503-261-1171 Fax: 503-253-5989 |
Mary Kathleen Easton, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 10131 Se Palatial Ct, Happy Valley, OR 97086 Phone: 503-786-4060 Fax: 503-652-6972 |
Kimberly K Rodda, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16180 Se Sunnyside Rd, Suite 102, Happy Valley, OR 97015 Phone: 503-582-4900 |