| Tanah Elisabeth Clunies-ross, CNM | |
|
11750 Sw Barnes Rd Ste 300, Portland, OR 97225-5911 | |
| (503) 416-9940 | |
| (503) 416-9970 |
| Full Name | Tanah Elisabeth Clunies-ross |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 11750 Sw Barnes Rd Ste 300, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679079768 | NPI | - | NPPES |
| 500760167 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 235951 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 201810943 (Oregon) | Primary |
| Entity Name | Lane County Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326138314 PECOS PAC ID: 7416853833 Enrollment ID: O20040309000023 |
| Entity Name | Mckenzie Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316909054 PECOS PAC ID: 1254307994 Enrollment ID: O20040903000766 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanah Elisabeth Clunies-ross, CNM 11750 Sw Barnes Rd Ste 300, Portland, OR 97225-5911 Ph: (503) 416-9940 | Tanah Elisabeth Clunies-ross, CNM 11750 Sw Barnes Rd Ste 300, Portland, OR 97225-5911 Ph: (503) 416-9940 |
Margaret R. Zak, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 9340 Sw Barnes Road, The Prenatal Clinic, Suite 102, Portland, OR 97225 Phone: 503-216-2859 | |
Margaret Elizabeth Shaw, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4500 | |
Elise N Erickson, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 9427 Sw Barnes Rd, Suite 395, Portland, OR 97225 Phone: 503-216-2602 | |
Olivia Kroening-roche, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7591 Fax: 503-494-7591 | |
Kaitlin Delfin, RN Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-494-7534 | |
Polly C Molden, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-4500 Fax: 503-494-1678 | |
Kelsey Tassinari Poppe, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3455 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-494-7725 |