| Michela Kenning, OD | |
|
672 Nw Autumncreek Way Apt M303, Beaverton, OR 97006-7789 | |
| (314) 304-7484 | |
| Not Available |
| Full Name | Michela Kenning |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 672 Nw Autumncreek Way Apt M303, Beaverton, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558624320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3446ATI (Oregon) | Primary |
| 152W00000X | Optometrist | 60280003 (Washington) | Secondary |
| Provider Name | Pacific University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306954011 PECOS PAC ID: 0345144705 Enrollment ID: O20031126000350 |
| Provider Name | Innervision Optometric Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962534578 PECOS PAC ID: 2567453160 Enrollment ID: O20040521000817 |
| Mailing Address | Practice Location Address |
|---|---|
| Michela Kenning, OD 1704 Se 170th Ave, Vancouver, WA 98683-3445 Ph: (314) 304-7484 | Michela Kenning, OD 672 Nw Autumncreek Way Apt M303, Beaverton, OR 97006-7789 Ph: (314) 304-7484 |
Dr. Chelsea Nicole Territo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 18070 Nw Evergreen Pkwy, Beaverton, OR 97006 Phone: 971-348-3174 Fax: 503-439-8862 | |
Dr. Chalres Albert Mcbride, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12370 Sw 1st St, Beaverton, OR 97005 Phone: 503-644-3614 Fax: 503-646-4069 | |
Allie De La Cruz, Optometrist Medicare: Medicare Enrolled Practice Location: 4655 Sw Griffith Dr Ste 165, Beaverton, OR 97005 Phone: 503-646-8592 Fax: 503-526-3989 | |
Couple Of Eyes Vision Care, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2326 Nw Amberbrook Dr, Beaverton, OR 97006 Phone: 503-466-2966 Fax: 503-466-2008 | |
Pacific University Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12600 Sw Crescent St, 130, Beaverton, OR 97005 Phone: 503-352-2020 Fax: 971-266-2963 | |
Yanda Li, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 20551 Sw Tesoro Ct, Beaverton, OR 97003 Phone: 857-300-9141 | |
Sunset Eye Clinic Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1865 Nw 169th Pl, Suite 105, Beaverton, OR 97006 Phone: 503-533-8441 Fax: 503-533-8403 |