| Myles Prince, RN | |
|
10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | |
| (800) 813-2000 | |
| Not Available |
| Full Name | Myles Prince |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 10180 Se Sunnyside Rd, Clackamas, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295497048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 256559 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 10036678 (Oregon) | Primary |
| Entity Name | Hospitalist Medicine Physicians Of Washington - Tcs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649816380 PECOS PAC ID: 6800240102 Enrollment ID: O20230920001616 |
| Mailing Address | Practice Location Address |
|---|---|
| Myles Prince, RN 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 Ph: (800) 813-2000 | Myles Prince, RN 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (800) 813-2000 |
Jessica Dawn Sexton-dorsett, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 | |
Natalie Christine Kramer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Linda Newbloom, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Sean Eric Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 800-813-2000 | |
Kyle Bowling, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 | |
Kenneth E Allen, CRNA, MSA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Mrs. Heidi Egan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-4698 |