| Rebecca Marie Fort, PA-C | |
|
10670 Ne Cornell Rd Ste 101, Hillsboro, OR 97124-9221 | |
| (503) 216-9360 | |
| Not Available |
| Full Name | Rebecca Marie Fort |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 10670 Ne Cornell Rd Ste 101, Hillsboro, 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 |
|---|---|---|---|
| 1669987426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 55201 (California) | Secondary |
| 363A00000X | Physician Assistant | PA191992 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Home Health | Portland, OR | Home health agency |
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Providence Newberg Medical Center | Newberg, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1423 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Marie Fort, PA-C 10670 Ne Cornell Rd Ste 101, Hillsboro, OR 97124-9221 Ph: (503) 216-9360 | Rebecca Marie Fort, PA-C 10670 Ne Cornell Rd Ste 101, Hillsboro, OR 97124-9221 Ph: (503) 216-9360 |
Lauren Melissa Small, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19075 Nw Tanasbourne Dr, Suite 200, Hillsboro, OR 97124 Phone: 503-684-8252 |
Heather N Davidson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10670 Ne Cornell Rd Ste 300, Hillsboro, OR 97124 Phone: 503-216-9300 |
Jenny Kha Eng, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 222 Se 8th Ave Ste 551, Hillsboro, OR 97123 Phone: 503-352-7272 |
Jessica Jean Aikin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 333 Se 7th Ave Ste 4350, Hillsboro, OR 97123 Phone: 503-844-8220 Fax: 503-844-8234 |
Tarisa Olinski, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4660 Ne Belknap Ct Ste 119, Hillsboro, OR 97124 Phone: 503-359-3809 Fax: 503-359-3809 |
John Kenneth Glenn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2460 Ne Griffin Oaks St, Suite D1000, Hillsboro, OR 97124 Phone: 360-213-1301 |
Jessica Evonne Dumitru, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 421 Se Washington St, Hillsboro, OR 97123 Phone: 503-352-1141 Fax: 503-352-1147 |