| Tara Pfaff, FNP-BC | |
|
36860 Industrial Way, Sandy, OR 97055 | |
| (503) 826-0206 | |
| Not Available |
| Full Name | Tara Pfaff |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 36860 Industrial Way, Sandy, 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 |
|---|---|---|---|
| 1053840330 | NPI | - | NPPES |
| 00 | Other | DO NOT HAVE (NEED NPI TO GET MEDICAID ID) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201405290NP-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 |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 635 |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Pfaff, FNP-BC 36860 Industrial Way, Sandy, OR 97055-7371 Ph: (503) 826-0206 | Tara Pfaff, FNP-BC 36860 Industrial Way, Sandy, OR 97055 Ph: (503) 826-0206 |
Elizabeth Joyce Pacarro, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17055 Ruben Ln, Sandy, OR 97055 Phone: 503-668-8002 Fax: 503-668-5246 | |
Bailey Kristine Udy, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37400 Bell St, Sandy, OR 97055 Phone: 503-688-8483 | |
Jing Wei, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37400 Bell St, Sandy, OR 97055 Phone: 503-668-3493 | |
Mrs. Hien Martine Bowden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17055 Ruben Ln, Sandy, OR 97055 Phone: 503-668-8002 Fax: 503-668-5246 | |
Karen G Hedden, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39740 Pleasant St, Sandy, OR 97055 Phone: 503-722-6950 Fax: 503-722-6939 | |
Ms. Jacqueline Beckwith, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 37400 Bell St, Sandy, OR 97055 Phone: 503-668-3483 Fax: 503-668-1892 |