| Jennifer Mary Cronin, PA-C | |
|
4560 Se International Way, Milwaukie, OR 97222-4628 | |
| (720) 480-2767 | |
| Not Available |
| Full Name | Jennifer Mary Cronin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 4560 Se International Way, Milwaukie, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760787774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 206517 (Oregon) | Primary |
| Entity Name | Marquis Clinical Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710427810 PECOS PAC ID: 2860827821 Enrollment ID: O20200121002375 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Mary Cronin, PA-C 116 Cowing St, Silverton, OR 97381-2318 Ph: (720) 480-2767 | Jennifer Mary Cronin, PA-C 4560 Se International Way, Milwaukie, OR 97222-4628 Ph: (720) 480-2767 |
Ms. Leslie Karen Fitzgerald, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 4560 Se International Way Ste 100, Milwaukie, OR 97222 Phone: 971-206-5179 |
Mr. Sean Simons, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222 Phone: 503-513-8950 Fax: 503-513-8951 |
Pamela Dian Long, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4560 Se International Way Ste 100, Milwaukie, OR 97222 Phone: 971-206-5179 Fax: 503-905-0495 |
Lisa M Kensil, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4560 Se International Way Ste 100, Milwaukie, OR 97222 Phone: 971-206-5179 Fax: 503-905-0495 |
Ms. Melissa R. Thompson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10024 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-654-5666 |
Ellie Raines Boardman, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15074 Se Bevington Ave, Milwaukie, OR 97267 Phone: 503-307-0159 |
Hannah P Frazee, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14617 Se Mcloughlin Blvd, Milwaukie, OR 97267 Phone: 503-962-1782 |