| Kelley Ruth Ward, PA-C | |
|
17055 Ruben Ln, Sandy, OR 97055-9276 | |
| (503) 668-8002 | |
| Not Available |
| Full Name | Kelley Ruth Ward |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 17055 Ruben Ln, Sandy, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225622293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA213070 (Oregon) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 714 |
| Entity Name | Legacy Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952482275 PECOS PAC ID: 3072415652 Enrollment ID: O20040123000519 |
| Entity Name | Northwest Acute Care Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215983200 PECOS PAC ID: 7012807373 Enrollment ID: O20040318001535 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley Ruth Ward, PA-C Po Box 3777, Portland, OR 97208-3777 Ph: Not Available | Kelley Ruth Ward, PA-C 17055 Ruben Ln, Sandy, OR 97055-9276 Ph: (503) 668-8002 |
Jamie Brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17055 Ruben Ln, Sandy, OR 97055 Phone: 503-668-8002 |
Miss Roberta Meryl Rich, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 37400 Bell St, Sandy, OR 97055 Phone: 503-668-3483 |
Megan E Nichols, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17055 Ruben Ln, Sandy, OR 97055 Phone: 503-668-8002 Fax: 503-668-5246 |