| Gwen Sampson, | |
|
6800 Sw 105th Ave Ste 206, Beaverton, OR 97008-5487 | |
| (503) 430-1777 | |
| (503) 372-5119 |
| Full Name | Gwen Sampson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 6800 Sw 105th Ave Ste 206, Beaverton, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558812867 | NPI | - | NPPES |
| Entity Name | Crm Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952674996 PECOS PAC ID: 3678720729 Enrollment ID: O20120824000811 |
| Mailing Address | Practice Location Address |
|---|---|
| Gwen Sampson, 6800 Sw 105th Ave Ste 206, Beaverton, OR 97008-5487 Ph: (503) 430-1777 | Gwen Sampson, 6800 Sw 105th Ave Ste 206, Beaverton, OR 97008-5487 Ph: (503) 430-1777 |
Bethany Joy Bivin, MSN, APRN, BSN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8905 Sw Nimbus Ave Ste 300, Beaverton, OR 97008 Phone: 503-352-0468 Fax: 971-703-1019 |
Hillary Diane Davault, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15455 Nw Greenbrier Pkwy Ste 111, Beaverton, OR 97006 Phone: 503-531-3434 Fax: 503-645-4544 |
Mrs. Sherry Diane Davidson, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10700 Sw Beaverton-hillsdale Hwy, Park Plaza West Bld 3 Suite 547, Beaverton, OR 97005 Phone: 503-643-0428 |
Corneliu Volosen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6800 Sw 105th Ave Ste 206, Beaverton, OR 97008 Phone: 503-430-1777 |
Victoria Marie Randle, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12725 Sw Millikan Way Ste 300, Beaverton, OR 97005 Phone: 971-413-7199 |
Patricia A. Demsky, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10700 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005 Phone: 248-652-5291 Fax: 248-652-5817 |
Dr. Kathleen Anne Roberts, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2725 Sw Cedar Hills Blvd Ste 200, Beaverton, OR 97005 Phone: 503-352-6000 Fax: 503-352-6081 |