| Mrs Julia Rose Koos, NP | |
|
41805 Stayton Scio Rd Se, Stayton, OR 97383-9739 | |
| (503) 507-5356 | |
| (866) 225-2708 |
| Full Name | Mrs Julia Rose Koos |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 41805 Stayton Scio Rd Se, Stayton, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174227078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10004813 (Oregon) | Primary |
| Entity Name | Santiam Mobile Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750899035 PECOS PAC ID: 1456614361 Enrollment ID: O20180508001303 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Julia Rose Koos, NP Po Box 118, Stayton, OR 97383-0118 Ph: (503) 507-5356 | Mrs Julia Rose Koos, NP 41805 Stayton Scio Rd Se, Stayton, OR 97383-9739 Ph: (503) 507-5356 |
Ernest Eugene Lissy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1375 N 10th Ave, Stayton, OR 97383 Phone: 503-769-2641 Fax: 503-769-3797 | |
Elizabeth Apollo-loomis, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 N 10th Ave, Stayton, OR 97383 Phone: 503-769-9307 | |
Takahla Circle, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Stayton, OR 97383 Phone: 541-852-2746 | |
Amanda Gildersleeve, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1095 N 1st Ave, Stayton, OR 97383 Phone: 503-767-3226 | |
Jennifer Rae Muller, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1375 N 10th Ave, Stayton, OR 97383 Phone: 503-769-2641 | |
Casey Lulay, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41805 Stayton Scio Rd Se, Stayton, OR 97383 Phone: 503-507-5356 Fax: 866-225-2708 |