| Mr Elliott Louis Koivisto, NP | |
|
7145 Sw Varns St Ste 206, Tigard, OR 97223-8168 | |
| (971) 405-2584 | |
| (800) 785-4531 |
| Full Name | Mr Elliott Louis Koivisto |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 7145 Sw Varns St Ste 206, Tigard, 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 |
|---|---|---|---|
| 1407592397 | NPI | - | NPPES |
| 500819778 | Medicaid | OR | |
| 10005745 | Other | OR | OREGON STATE NURSING LICENSE |
| 201390875RN | Other | OR | OREGON STATE NURSING LICENSE NUMBER |
| AP61377025 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
| RN60545376 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
| Entity Name | Mindful Therapy Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20210301001586 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Elliott Louis Koivisto, NP 11785 Sw Robbins Dr, Beaverton, OR 97008-7949 Ph: (503) 522-2831 | Mr Elliott Louis Koivisto, NP 7145 Sw Varns St Ste 206, Tigard, OR 97223-8168 Ph: (971) 405-2584 |
Jessica Rae Gniadek, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8915 Sw Center St, Tigard, OR 97223 Phone: 503-726-3690 | |
Joseph Roy Zelk, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10220 Sw Greenburg Rd., Suite 150, Tigard, OR 97223 Phone: 503-255-1200 Fax: 503-408-6856 | |
Kecia Harris, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11481 Sw Hall Blvd Ste 200, Tigard, OR 97223 Phone: 503-980-4334 | |
Kailey Windsor, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16083 Sw Upper Boones Ferry Rd, Tigard, OR 97224 Phone: 503-603-9087 Fax: 503-603-9122 | |
Leslie Cody, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11481 Sw Hall Blvd Ste 200, Tigard, OR 97223 Phone: 503-980-4334 Fax: 971-200-2431 | |
Mrs. Luiza Maria Brown, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7632 Sw Durham Rd Ste 130, Tigard, OR 97224 Phone: 800-936-4756 | |
Lindsey Campbell Gustafson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13200 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-598-2000 Fax: 503-639-0920 |