| Integrated Joint Specialists Llc | |
|
10250 Sw Greenburg Rd, 4 Lincoln Center, Suite 125, Tigard, OR 97223-5470 | |
| (503) 719-6783 | |
| (971) 327-6734 |
| Full Name | Integrated Joint Specialists Llc |
|---|---|
| Type | Facility |
| Speciality | General Practice |
| Location | 10250 Sw Greenburg Rd, Tigard, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942502794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Russell W Riggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356384838 PECOS PAC ID: 1658312343 Enrollment ID: I20050512000453 |
| Provider Name | Tania Mila Shaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184665416 PECOS PAC ID: 6305825282 Enrollment ID: I20071003000603 |
| Provider Name | Brad G Simpson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518900174 PECOS PAC ID: 6103847603 Enrollment ID: I20081013000127 |
| Provider Name | Ryan G Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316352651 PECOS PAC ID: 6901193812 Enrollment ID: I20160921000083 |
| Provider Name | Amber J Vogt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548400682 PECOS PAC ID: 4183750979 Enrollment ID: I20180205002775 |
| Provider Name | Darren T Nigo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194276022 PECOS PAC ID: 3870838766 Enrollment ID: I20181220003373 |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Joint Specialists Llc 10250 Sw Greenburg Rd Ste 115, Tigard, OR 97223-5461 Ph: (503) 719-6783 | Integrated Joint Specialists Llc 10250 Sw Greenburg Rd, 4 Lincoln Center, Suite 125, Tigard, OR 97223-5470 Ph: (503) 719-6783 |