| Michelle Brannen Thilavanh, PA-C | |
|
1001 Providence Dr, Newberg, OR 97132-7485 | |
| (503) 537-1555 | |
| Not Available |
| Full Name | Michelle Brannen Thilavanh |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1001 Providence Dr, Newberg, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588121966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA193113 (Oregon) | Primary |
| 363AM0700X | Physician Assistant - Medical | (NU) | Secondary |
| 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 | Silverton Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172 |
| 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 |
|---|---|
| Michelle Brannen Thilavanh, PA-C Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Michelle Brannen Thilavanh, PA-C 1001 Providence Dr, Newberg, OR 97132-7485 Ph: (503) 537-1555 |
Britny Cristina Ruilova Tellez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 448 N Werth Blvd, Newberg, OR 97132 Phone: 949-929-1906 |
Abby Louise Anderson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 414 N Meridian St, Newberg, OR 97132 Phone: 503-554-2521 |
Graham Isaac Starr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2251 E Hancock St Ste 103, Newberg, OR 97132 Phone: 971-281-3000 |
Ashley R Kelso, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1003 Providence Dr Ste 110, Newberg, OR 97132 Phone: 503-537-5900 |
John Phuoc Huynh Do, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 448 N Werth Blvd, Newberg, OR 97132 Phone: 503-538-8383 |
Jennifer Higham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1003 Providence Dr Ste 110210, Newberg, OR 97132 Phone: 503-537-5900 |
Jonathan D Fisk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 N Providence Dr Ste 120, Newberg, OR 97132 Phone: 503-537-5900 |