| Mr Graham Michael Gentry, FNP | |
|
1755 Sw Baker St, Mcminnville, OR 97128-9112 | |
| (971) 900-4522 | |
| (971) 900-4503 |
| Full Name | Mr Graham Michael Gentry |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1755 Sw Baker St, Mcminnville, 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 |
|---|---|---|---|
| 1730844838 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 635 |
| Legacy Clinics Llc | 0244144004 | 635 |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20050627000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Graham Michael Gentry, FNP 600 Jefferson St Ste 600, Lafayette, LA 70501-6987 Ph: (458) 201-5074 | Mr Graham Michael Gentry, FNP 1755 Sw Baker St, Mcminnville, OR 97128-9112 Ph: (971) 900-4522 |
Ms. Kathleen Gregory, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Nw 6th St, Suite A, Mcminnville, OR 97128 Phone: 503-775-4931 Fax: 503-788-7285 | |
Kimberly Marie Martinez, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 Se Stratus Ave Unit 304, Mcminnville, OR 97128 Phone: 503-434-6090 Fax: 503-474-3306 | |
Toy H Lim, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Ne May Ln, Mcminnville, OR 97128 Phone: 503-472-1338 Fax: 503-434-8597 | |
Ms. Susan E Speece, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Ne May Ln, Mcminnville, OR 97128 Phone: 503-472-1338 Fax: 503-434-8597 | |
Melissa M Sanchez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2163 Nw 2nd St, Mcminnville, OR 97128 Phone: 503-472-4197 Fax: 503-434-2886 | |
Lisa M Rivera, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523 Fax: 503-434-9846 | |
Mrs. Jennifer Sue Behnke, APN, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 Nw 8th St, Mcminnville, OR 97128 Phone: 503-379-0208 Fax: 503-662-6068 |