| Jill Rudnick Yoman, PA | |
|
1151 N. Adair St., Cornelius, OR 97113 | |
| (503) 352-8524 | |
| (503) 357-4371 |
| Full Name | Jill Rudnick Yoman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1151 N. Adair St., Cornelius, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508946724 | NPI | - | NPPES |
| 500610446 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA01353 (Oregon) | Primary |
| Entity Name | Virginia Garcia Memorial Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679528012 PECOS PAC ID: 7113823881 Enrollment ID: O20031211000992 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Rudnick Yoman, PA Po Box 6149, Aloha, OR 97007-0149 Ph: (503) 352-8657 | Jill Rudnick Yoman, PA 1151 N. Adair St., Cornelius, OR 97113 Ph: (503) 352-8524 |
Mr. Joshua Gietzen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1151 N Adair St, Cornelius, OR 97113 Phone: 503-359-5564 Fax: 503-357-4371 |
Catherine D Bax, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 85 N 12th Ave, Cornelius, OR 97113 Phone: 503-359-5564 Fax: 503-352-7089 |
Christopher Gebhardt, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1151 N Adair St, Cornelius, OR 97113 Phone: 503-359-5564 |