| Ms Shelby Lee Freed, FNP-C | |
|
600 Ne 8th St, Ste. 300, Gresham, OR 97030-7317 | |
| (503) 988-5155 | |
| (503) 988-5185 |
| Full Name | Ms Shelby Lee Freed |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 600 Ne 8th St, Gresham, 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 |
|---|---|---|---|
| 1275811549 | NPI | - | NPPES |
| 022959 | Medicaid | OR | |
| 096511 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN2264435 (Massachusetts) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201601936NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orchid Oakridge Clinic Pc | 3476786609 | 24 |
| Entity Name | Multnomah County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609914787 PECOS PAC ID: 6608771787 Enrollment ID: O20031203000025 |
| 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 Shelby Lee Freed, FNP-C 421 Sw Oak St, Ste. 210, Portland, OR 97204-1817 Ph: (503) 988-7468 | Ms Shelby Lee Freed, FNP-C 600 Ne 8th St, Ste. 300, Gresham, OR 97030-7317 Ph: (503) 988-5155 |
Vivian B Vargo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St, Gresham, OR 97030 Phone: 503-988-5155 Fax: 503-988-5185 | |
Elana Underwood Scharff, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520 Fax: 503-674-1599 | |
Renae Rykaczewski, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Ne 8th St Ste 300, Gresham, OR 97030 Phone: 530-988-5155 | |
Alma San Juan, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25050 Se Stark St Ste 265, Gresham, OR 97030 Phone: 503-674-1520 | |
Wendy Waibel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21015 Se Stark St, Gresham, OR 97030 Phone: 503-669-6120 Fax: 503-669-6163 | |
Katie L Ketterling-thornburg, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 440 Nw Division St, Gresham, OR 97030 Phone: 503-215-9500 | |
Ms. Heike K. Huchler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-666-5050 |