| Ms Nina O'mailia, PA-C | |
|
21900 Willamette Dr Ste 209, West Linn, OR 97068-3284 | |
| (971) 274-0038 | |
| (971) 202-2099 |
| Full Name | Ms Nina O'mailia |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 21900 Willamette Dr Ste 209, West Linn, 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 |
|---|---|---|---|
| 1316116684 | NPI | - | NPPES |
| 8508384 | Medicaid | WA | |
| 500604590 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363A00000X | Physician Assistant | PA152466 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 714 |
| Entity Name | Legacy Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Orchid Oakridge Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588088983 PECOS PAC ID: 3476786609 Enrollment ID: O20140612000318 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nina O'mailia, PA-C 11507 Se Flavel St, Portland, OR 97266-5985 Ph: (503) 915-2090 | Ms Nina O'mailia, PA-C 21900 Willamette Dr Ste 209, West Linn, OR 97068-3284 Ph: (971) 274-0038 |
Karoline Woitke, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2020 8th Ave Ste 100, West Linn, OR 97068 Phone: 503-655-3320 Fax: 503-655-3321 |
Michael Beauchaine, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2020 8th Ave, Suite 200, West Linn, OR 97068 Phone: 503-512-1212 |
Alyson Trenae Godbey, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 30125 Sw Old Well Rd, West Linn, OR 97068 Phone: 150-331-3214 |
Andrew Tistadt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21810 Willamette Dr Ste 200, West Linn, OR 97068 Phone: 503-994-4353 Fax: 503-722-5100 |
Allison Karly Everson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2020 8th Ave Ste 100, West Linn, OR 97068 Phone: 503-659-4988 Fax: 833-428-4938 |
Cynthia Katancik, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22400 Salamo Rd, Suite 101, West Linn, OR 97068 Phone: 503-657-6010 Fax: 503-655-0753 |