| Kristi Keats, FNP-C | |
|
11995 Se Sunnyside Rd, Happy Valley, OR 97015-9312 | |
| (888) 227-3312 | |
| Not Available |
| Full Name | Kristi Keats |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 11995 Se Sunnyside Rd, Happy Valley, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336541846 | NPI | - | NPPES |
| 500707711 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP7327 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201602418NP-PP (Oregon) | Primary |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
| Entity Name | P3 Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689266926 PECOS PAC ID: 8527476449 Enrollment ID: O20210414001151 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Keats, FNP-C Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Kristi Keats, FNP-C 11995 Se Sunnyside Rd, Happy Valley, OR 97015-9312 Ph: (888) 227-3312 |
Graham A Phelps, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015 Phone: 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 |
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 |