| Michelle Anne Radley, PA-C | |
|
3377 Riverbend Dr, Springfield, OR 97477-8803 | |
| (541) 222-6200 | |
| (541) 222-6182 |
| Full Name | Michelle Anne Radley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3377 Riverbend Dr, Springfield, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164676441 | NPI | - | NPPES |
| 1164676441 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA01411 (Oregon) | Primary |
| Entity Name | Peacehealth Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Anne Radley, PA-C Po Box 24410, Eugene, OR 97402-0451 Ph: (541) 984-4301 | Michelle Anne Radley, PA-C 3377 Riverbend Dr, Springfield, OR 97477-8803 Ph: (541) 222-6200 |
Alejandro Elliott Colmenero I, MSPA, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21 Hayden Bridge Way, Springfield, OR 97477 Phone: 541-747-4300 Fax: 541-747-0655 |
Angela Ellise Watson, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Hartman Ln, Springfield, OR 97477 Phone: 541-334-3350 Fax: 541-284-5198 |
Amber Michelle Travis, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Pediatric Surgery, Springfield, OR 97477 Phone: 541-222-6135 |
Victoria Ann Shultz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Hartman Ln Ste 200, Springfield, OR 97477 Phone: 541-334-3350 Fax: 541-343-3459 |
Leah Danielle Hollingsworth, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1460 G St, Springfield, OR 97477 Phone: 541-726-4510 |
Mr. Sean T Rabacal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr Fl 5, Springfield, OR 97477 Phone: 541-222-8400 Fax: 541-222-8401 |
Natalie A Muir, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Hayden Bridge Way, Springfield, OR 97477 Phone: 541-868-9430 Fax: 541-868-9450 |