| Tara Lee Reese, PA-C | |
|
3325 Pocahontas Rd, Baker City, OR 97814 | |
| (541) 524-8000 | |
| (541) 524-7955 |
| Full Name | Tara Lee Reese |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3325 Pocahontas Rd, Baker City, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518449560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA197542 (Oregon) | Primary |
| Entity Name | Jordan Ridge Family Medicine LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578277950 PECOS PAC ID: 8820091473 Enrollment ID: O20230303001190 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Lee Reese, PA-C 3340 E Goldstone Dr, Meridian, ID 83642 Ph: (541) 524-8000 | Tara Lee Reese, PA-C 3325 Pocahontas Rd, Baker City, OR 97814 Ph: (541) 524-8000 |
Bryan Lee Braun, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3325 Pocahontas Rd, Baker City, OR 97814 Phone: 541-524-8000 Fax: 541-524-7955 |
Ms. Katherine Marie Willis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3325 Pocahontas Rd, Baker City, OR 97814 Phone: 541-524-8000 Fax: 541-524-7955 |
Mr. Monte W. Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3950 17th St, Ste A, Baker City, OR 97814 Phone: 541-523-1001 |
Devin S Bowman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3950 17th St, Suite A, Baker City, OR 97814 Phone: 541-523-1001 |
Mariana Lupita Flores, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3950 17th St Ste A, Baker City, OR 97814 Phone: 541-523-1001 Fax: 541-523-1152 |
William Z Allen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3175 Pocahontas.rd, Samg Baker Clinic Family Practice, Baker City, OR 97814 Phone: 541-523-4415 Fax: 541-523-2399 |
Elizabeth Ann Kippes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3950 17th St, Baker City, OR 97814 Phone: 541-523-1001 Fax: 541-523-1152 |