| Lark Rhodes, | |
|
25050 Se Stark St, Gresham, OR 97030-3327 | |
| (503) 674-1848 | |
| Not Available |
| Full Name | Lark Rhodes |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 25050 Se Stark St, Gresham, 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 |
|---|---|---|---|
| 1487480364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA224490 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Medford Medical Center | Medford, OR | Hospital |
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Oregon Orthopedics Inc | 1456256528 | 64 |
| Entity Name | Southern Oregon Orthopedics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518093376 PECOS PAC ID: 1456256528 Enrollment ID: O20031202000214 |
| Mailing Address | Practice Location Address |
|---|---|
| Lark Rhodes, Po Box 3777, Portland, OR 97208-3777 Ph: (503) 413-3900 | Lark Rhodes, 25050 Se Stark St, Gresham, OR 97030-3327 Ph: (503) 674-1848 |
Ms. Michelle Hatch Linton, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24850 Se Stark, Suite 150, Gresham, OR 97030 Phone: 503-491-0714 Fax: 503-674-2834 |
Theresa M Rardin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24900 Se Stark St Ste 208, Gresham, OR 97030 Phone: 503-666-8149 |
Laura White, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520 |
Mrs. Dyea L Summers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2850 Se Powell Valley Rd Ste 100, Gresham, OR 97080 Phone: 503-666-5050 |
Amanda Lynn Turner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 831 Nw Council Dr Ste 301, Gresham, OR 97030 Phone: 503-362-8385 Fax: 503-362-8435 |
Anna Lee, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St, Suite 230, Gresham, OR 97030 Phone: 503-488-2600 Fax: 503-465-5468 |
Katherine Vestakis, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24988 Se Stark St Ste 220, Gresham, OR 97030 Phone: 503-674-1580 |