| Timothy Samuel Waddell, FNP | |
|
923 Nw 14th Ave, Portland, OR 97209-2704 | |
| (503) 972-0235 | |
| (503) 379-1523 |
| Full Name | Timothy Samuel Waddell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 923 Nw 14th Ave, Portland, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629878467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95034330 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 10064849 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America - California | 6103739131 | 1278 |
| Emergency Physicians Urgent Care Inc | 8527234418 | 138 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Emergency Physicians Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689963845 PECOS PAC ID: 8527234418 Enrollment ID: O20111227000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Samuel Waddell, FNP 2459 Se Tualatin Valley Hwy # 416, Hillsboro, OR 97123-7919 Ph: (503) 972-0235 | Timothy Samuel Waddell, FNP 923 Nw 14th Ave, Portland, OR 97209-2704 Ph: (503) 972-0235 |
Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988 |
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555 |
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808 |
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575 |
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090 |
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St Ste 730, Portland, OR 97205 Phone: 971-354-9242 |
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700 |