| Careconnect Np2u | |
|
7632 Sw Durham Rd Ste 105 Tigard OR 97224-7597 | |
| (844) 744-2200 | |
| (971) 224-2506 |
| Full Name | Careconnect Np2u |
|---|---|
| Speciality | Clinic/Center |
| Location | 7632 Sw Durham Rd Ste 105, Tigard, Oregon |
| Authorized Official Name and Position | Karl Miller (OWNER) |
| Authorized Official Contact | 9712242836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnect Np2u 7632 Sw Durham Rd Ste 105 Tigard OR 97224-7597 Ph: (844) 744-2200 | Careconnect Np2u 7632 Sw Durham Rd Ste 105 Tigard OR 97224-7597 Ph: (844) 744-2200 |
| NPI Number | 1255760070 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 4486876240 |
|---|---|
| Medicare Enrollment ID | O20141111000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255760070 | NPI | - | NPPES |
| 500670762 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Eliza Oh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518041763 PECOS PAC ID: 5991608846 Enrollment ID: I20040129000198 |
| Provider Name | Toni J Feist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780660589 PECOS PAC ID: 3375560758 Enrollment ID: I20051025000675 |
| Provider Name | Mhd Tarek Nashawi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205862505 PECOS PAC ID: 0648275339 Enrollment ID: I20061003000028 |
| Provider Name | Yolanda B Suarez |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1124126362 PECOS PAC ID: 4688658503 Enrollment ID: I20081021000211 |
| Provider Name | Deona J Kasten-stubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023202314 PECOS PAC ID: 4183712789 Enrollment ID: I20090115000092 |
| Provider Name | Carma J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649234527 PECOS PAC ID: 8426173568 Enrollment ID: I20100914000250 |
| Provider Name | Colleen M Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639473176 PECOS PAC ID: 2163600818 Enrollment ID: I20110628000194 |
| Provider Name | Eriko Onishi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538261573 PECOS PAC ID: 4688636640 Enrollment ID: I20111026000958 |
| Provider Name | Melinda P Gitnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619212446 PECOS PAC ID: 5395985543 Enrollment ID: I20130711000213 |
| Provider Name | Jeffrey J Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942205752 PECOS PAC ID: 5991704413 Enrollment ID: I20140924000371 |
| Provider Name | Shelley Ann Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841483575 PECOS PAC ID: 3173618329 Enrollment ID: I20141006001315 |
| Provider Name | Laurel Plahuta Ewing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952528895 PECOS PAC ID: 8426091919 Enrollment ID: I20150131000118 |
| Provider Name | Denise M Viss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477927606 PECOS PAC ID: 8729380290 Enrollment ID: I20151230002036 |
| Provider Name | Kecia Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083073514 PECOS PAC ID: 2860799160 Enrollment ID: I20160331002416 |
| Provider Name | John Jay Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518332667 PECOS PAC ID: 3375836711 Enrollment ID: I20160722002072 |
| Provider Name | Kendra Ragan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952859621 PECOS PAC ID: 0648550871 Enrollment ID: I20161206000723 |
| Provider Name | Dustin Colegrove |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467686147 PECOS PAC ID: 8123277712 Enrollment ID: I20170718003676 |
| Provider Name | Debra Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619116019 PECOS PAC ID: 7911169602 Enrollment ID: I20170908002010 |
| Provider Name | Shirley Hanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730604166 PECOS PAC ID: 0042584187 Enrollment ID: I20170927004691 |
| Provider Name | Donna L. Beeson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689630436 PECOS PAC ID: 2860469814 Enrollment ID: I20180309001410 |
| Provider Name | Nelda J Ogden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023439940 PECOS PAC ID: 4486909454 Enrollment ID: I20180614001960 |
| Provider Name | Amelia Lynn Robles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700177029 PECOS PAC ID: 4486822244 Enrollment ID: I20180815004022 |
| Provider Name | Elisa Denise Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811550866 PECOS PAC ID: 2668706599 Enrollment ID: I20190627000491 |
| Provider Name | Heather Michelle Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205307881 PECOS PAC ID: 9032446422 Enrollment ID: I20190807003515 |
| Provider Name | Denise Leann Fain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588199426 PECOS PAC ID: 3274861844 Enrollment ID: I20190820003185 |
| Provider Name | Luiza Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174038491 PECOS PAC ID: 6709129463 Enrollment ID: I20200326002969 |
| Provider Name | Kelsey D Fyfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760090583 PECOS PAC ID: 8628497740 Enrollment ID: I20200923001000 |
| Provider Name | Lisa L Laginess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245704667 PECOS PAC ID: 9830437896 Enrollment ID: I20201029002897 |
| Provider Name | Adam S Perelgut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922460344 PECOS PAC ID: 5092005512 Enrollment ID: I20201127000085 |
| Provider Name | Brooke Veer Sundermeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649757436 PECOS PAC ID: 8729339619 Enrollment ID: I20210125002776 |
| Provider Name | Erin Hanlon Genereux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043899875 PECOS PAC ID: 5294124509 Enrollment ID: I20211108000892 |
| Provider Name | Christina Cyrway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750944484 PECOS PAC ID: 3072949353 Enrollment ID: I20211130000300 |
| Provider Name | Allison Beaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972264075 PECOS PAC ID: 5496149981 Enrollment ID: I20220226000364 |
| Provider Name | Ingrid Theresia Passier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326783184 PECOS PAC ID: 7416332192 Enrollment ID: I20220915003442 |
| Provider Name | Amethyst White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356052344 PECOS PAC ID: 8729440375 Enrollment ID: I20230814001654 |
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