| Maryika Gibson, NP | |
|
1700 Ne Everett St, Camas, WA 98607-1224 | |
| (360) 216-1536 | |
| Not Available |
| Full Name | Maryika Gibson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 1700 Ne Everett St, Camas, Washington |
| 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 |
|---|---|---|---|
| 1427471275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20139195NP (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP60401486 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Emanuel Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 635 |
| Legacy Salmon Creek Hospital | 0446295711 | 253 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Maryika Gibson, NP 1700 Ne Everett St, Camas, WA 98607-1224 Ph: (360) 216-1536 | Maryika Gibson, NP 1700 Ne Everett St, Camas, WA 98607-1224 Ph: (360) 216-1536 |
Mrs. Julie May Morgan-vaughn, RN, IBCLC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 713, Camas, WA 98607 Phone: 360-952-0902 | |
Alana Berdiyev, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1905 Se 192nd Ave Ste 201, Camas, WA 98607 Phone: 360-859-8393 Fax: 360-859-8373 | |
Candy Wood Curley, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3613 Nw Norwood St, Camas, WA 98607 Phone: 954-298-0491 Fax: 360-210-7515 | |
Amber Curtis, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1625 Se 192nd Ave Ste 207, Camas, WA 98607 Phone: 360-585-4563 Fax: 360-282-1217 | |
Julie Kathleen Luckart, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3119 Nw Ivy Cir, Camas, WA 98607 Phone: 360-281-6642 | |
Denice N Valent-musleh, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5706 Nw El Rey Dr, Camas, WA 98607 Phone: 312-203-7781 |