| Mr Daniel Carmen Fordiani Iii, MSN, APRN, A-GNP-C | |
|
17200 Nw Corridor Ct Ste 110, Beaverton, OR 97006-3295 | |
| (503) 614-8633 | |
| (503) 614-8635 |
| Full Name | Mr Daniel Carmen Fordiani Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 17200 Nw Corridor Ct Ste 110, Beaverton, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700582186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 10045244 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Todd Gillingham Md Llc | 4880843549 | 2 |
| Entity Name | Todd Gillingham MD LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801144985 PECOS PAC ID: 4880843549 Enrollment ID: O20121012000684 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Daniel Carmen Fordiani Iii, MSN, APRN, A-GNP-C 17200 Nw Corridor Ct Ste 110, Beaverton, OR 97006-3295 Ph: (503) 614-8633 | Mr Daniel Carmen Fordiani Iii, MSN, APRN, A-GNP-C 17200 Nw Corridor Ct Ste 110, Beaverton, OR 97006-3295 Ph: (503) 614-8633 |
Bethany Joy Bivin, MSN, APRN, BSN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8905 Sw Nimbus Ave Ste 300, Beaverton, OR 97008 Phone: 503-352-0468 Fax: 971-703-1019 |
Hillary Diane Davault, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15455 Nw Greenbrier Pkwy Ste 111, Beaverton, OR 97006 Phone: 503-531-3434 Fax: 503-645-4544 |
Mrs. Sherry Diane Davidson, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10700 Sw Beaverton-hillsdale Hwy, Park Plaza West Bld 3 Suite 547, Beaverton, OR 97005 Phone: 503-643-0428 |
Corneliu Volosen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6800 Sw 105th Ave Ste 206, Beaverton, OR 97008 Phone: 503-430-1777 |
Victoria Marie Randle, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12725 Sw Millikan Way Ste 300, Beaverton, OR 97005 Phone: 971-413-7199 |
Patricia A. Demsky, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10700 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005 Phone: 248-652-5291 Fax: 248-652-5817 |
Dr. Kathleen Anne Roberts, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2725 Sw Cedar Hills Blvd Ste 200, Beaverton, OR 97005 Phone: 503-352-6000 Fax: 503-352-6081 |