| Michelle So-patzer Wyman, | |
|
707 Sw Washington St Ste 700, Portland, OR 97205-3523 | |
| (503) 299-9906 | |
| Not Available |
| Full Name | Michelle So-patzer Wyman |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 707 Sw Washington St Ste 700, Portland, 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 |
|---|---|---|---|
| 1790467868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 95153554 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
| Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oregon Anesthesiology Group Pc | 3476451659 | 231 |
| Oregon Anesthesiology Group Pc | 3476451659 | 231 |
| Entity Name | Oregon Anesthesiology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477527786 PECOS PAC ID: 3476451659 Enrollment ID: O20031226000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle So-patzer Wyman, 13743 Ne 30th Ave, Vancouver, WA 98686-4334 Ph: () - | Michelle So-patzer Wyman, 707 Sw Washington St Ste 700, Portland, OR 97205-3523 Ph: (503) 299-9906 |
Nanis Gilmore, RN, CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 541 Ne 20th Ave, Suite 210, Portland, OR 97232 Phone: 503-233-6940 Fax: 503-236-2676 | |
Julie Liddicoat, CHN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 3rd Floor, Portland, OR 97204 Phone: 503-988-3417 Fax: 503-988-3419 | |
Valeriy Igumnov, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 847 Ne 19th Ave, Suite 100, Portland, OR 97232 Phone: 503-238-0769 Fax: 503-552-6208 | |
John Saklofsky, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3131 N Vancouver Ave, Portland, OR 97227 Phone: 503-528-5521 | |
Misrak Ayele, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 950 Sw 21st Ave Apt 1014, Portland, OR 97205 Phone: 503-449-3925 | |
Bonnie Kay Schonbachler, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2330 Ne Siskiyou St, Portland, OR 97212 Phone: 503-528-0757 | |
Mrs. Samantha Lancaster, RN-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-257-2500 |