| Claire Ingham, Md | |
|
1373 N 10th Ave Stayton OR 97383-2037 | |
| (503) 769-7546 | |
| (503) 769-8563 |
| Full Name | Claire Ingham, Md |
|---|---|
| Speciality | Clinic/Center |
| Location | 1373 N 10th Ave, Stayton, Oregon |
| Authorized Official Name and Position | Lynda Fraser (CLINIC COORDINATOR) |
| Authorized Official Contact | 5037494734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Claire Ingham, Md 1373 N 10th Ave Stayton OR 97383-2037 Ph: (503) 769-7546 | Claire Ingham, Md 1373 N 10th Ave Stayton OR 97383-2037 Ph: (503) 769-7546 |
| NPI Number | 1912178823 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 03/19/2008 |
| Medicare PECOS PAC ID | 6103729751 |
|---|---|
| Medicare Enrollment ID | O20040130000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912178823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Michael A Maurer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457313108 PECOS PAC ID: 6002720034 Enrollment ID: I20031114000204 |
| Provider Name | Mari M Goldner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366492886 PECOS PAC ID: 8820994312 Enrollment ID: I20031208000229 |
| Provider Name | Laura Maskell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356382311 PECOS PAC ID: 6709877954 Enrollment ID: I20040518001326 |
| Provider Name | Sean L Steward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689650624 PECOS PAC ID: 7113917931 Enrollment ID: I20040518001364 |
| Provider Name | David G Farthing |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760434070 PECOS PAC ID: 8921089657 Enrollment ID: I20040527000786 |
| Provider Name | Stephen P Moon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003890997 PECOS PAC ID: 3476537531 Enrollment ID: I20040616000298 |
| Provider Name | Michael A Mitchell |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063565349 PECOS PAC ID: 1759366065 Enrollment ID: I20040621001885 |
| Provider Name | John M Terhes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114906443 PECOS PAC ID: 9436135159 Enrollment ID: I20040624001413 |
| Provider Name | Mark William Donnelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700820784 PECOS PAC ID: 1658359450 Enrollment ID: I20040708001305 |
| Provider Name | Nicolas J Stratton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942346994 PECOS PAC ID: 3476543653 Enrollment ID: I20040826001258 |
| Provider Name | Brooke D Renard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538191085 PECOS PAC ID: 2961476627 Enrollment ID: I20040902000200 |
| Provider Name | Erling Y Chavez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801836721 PECOS PAC ID: 8729981261 Enrollment ID: I20041222000091 |
| Provider Name | Michael C Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619926011 PECOS PAC ID: 7214995653 Enrollment ID: I20041230000692 |
| Provider Name | Richard B Ismach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780688556 PECOS PAC ID: 8527015734 Enrollment ID: I20050331000112 |
| Provider Name | David Thorsett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558387779 PECOS PAC ID: 4082608005 Enrollment ID: I20050429000974 |
| Provider Name | Blake A Nonweiler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912923152 PECOS PAC ID: 7719972330 Enrollment ID: I20050503000751 |
| Provider Name | Robert G Mcgreevy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770545477 PECOS PAC ID: 0446292668 Enrollment ID: I20050527000513 |
| Provider Name | Andrea K Lind |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427070382 PECOS PAC ID: 9931113339 Enrollment ID: I20060206000218 |
| Provider Name | Ruben Pollak |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306844022 PECOS PAC ID: 4284641770 Enrollment ID: I20060308000296 |
| Provider Name | Edward Houk Chun Junn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144276858 PECOS PAC ID: 8921015199 Enrollment ID: I20060313000564 |
| Provider Name | James P Nealon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225025992 PECOS PAC ID: 7810906351 Enrollment ID: I20060412000144 |
| Provider Name | Edward H Piepmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467421156 PECOS PAC ID: 4385640820 Enrollment ID: I20061006000048 |
| Provider Name | Thomas D Gilberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841214236 PECOS PAC ID: 6103823174 Enrollment ID: I20061104000068 |
| Provider Name | Guesly Dessieux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760599351 PECOS PAC ID: 4688772486 Enrollment ID: I20071029000286 |
| Provider Name | Daniel S Schweigert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417964602 PECOS PAC ID: 2163329368 Enrollment ID: I20071121000341 |
| Provider Name | Todd W Meyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447229877 PECOS PAC ID: 6002857570 Enrollment ID: I20071219000883 |
| Provider Name | Shelisa R Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740208222 PECOS PAC ID: 9335223213 Enrollment ID: I20080303000166 |
| Provider Name | Amy Londergan Wiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174573927 PECOS PAC ID: 5799706966 Enrollment ID: I20080508000040 |
| Provider Name | Sara F Siwanowicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760447908 PECOS PAC ID: 5294743100 Enrollment ID: I20080515000666 |
| Provider Name | Claire E King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316940919 PECOS PAC ID: 4284682923 Enrollment ID: I20080604000034 |
| Provider Name | Steven M Maland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740233998 PECOS PAC ID: 1850461765 Enrollment ID: I20080604000439 |
| Provider Name | Vincent J Gimino |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992712483 PECOS PAC ID: 4587631346 Enrollment ID: I20081029000155 |
| Provider Name | Eric S Yao |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386616936 PECOS PAC ID: 3072697507 Enrollment ID: I20081219000530 |
| Provider Name | Timothy O Noreuil |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144391350 PECOS PAC ID: 4183607922 Enrollment ID: I20090821000482 |
| Provider Name | Kalsang W Phuntshog |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548227374 PECOS PAC ID: 9133269970 Enrollment ID: I20091229000584 |
| Provider Name | James F Parosa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871600601 PECOS PAC ID: 8022009331 Enrollment ID: I20100125000116 |
| Provider Name | George Matthew Degner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700923406 PECOS PAC ID: 7810024957 Enrollment ID: I20100422000296 |
| Provider Name | Alex C Bahrke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568794055 PECOS PAC ID: 3870621733 Enrollment ID: I20100513000581 |
| Provider Name | Susan J Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821093816 PECOS PAC ID: 2466420211 Enrollment ID: I20100831000481 |
| Provider Name | Christopher Woodworth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902872799 PECOS PAC ID: 7416932009 Enrollment ID: I20100901000217 |
| Provider Name | Tanie Hotan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023026309 PECOS PAC ID: 3577688548 Enrollment ID: I20100914000848 |
| Provider Name | Richard Neahring |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437284684 PECOS PAC ID: 1759395098 Enrollment ID: I20101008000273 |
| Provider Name | Scott T Hadden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932117207 PECOS PAC ID: 0547452187 Enrollment ID: I20101014000288 |
| Provider Name | Helmuth Vollger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174568026 PECOS PAC ID: 7810943230 Enrollment ID: I20101117001191 |
| Provider Name | John N Hoffman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689643173 PECOS PAC ID: 3274593769 Enrollment ID: I20110330000359 |
| Provider Name | Joseph P Lulich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134451784 PECOS PAC ID: 3870771009 Enrollment ID: I20110617000070 |
| Provider Name | Leonidez De Guzman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699900340 PECOS PAC ID: 5597936211 Enrollment ID: I20110928000760 |
| Provider Name | Arkady Klykov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629273594 PECOS PAC ID: 1658495817 Enrollment ID: I20111012000758 |
| Provider Name | Joseph D Goldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417993767 PECOS PAC ID: 6901067511 Enrollment ID: I20120409000054 |
| Provider Name | Steven M Vets |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790944601 PECOS PAC ID: 5294808457 Enrollment ID: I20120803000514 |
| Provider Name | David Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912135690 PECOS PAC ID: 7214186626 Enrollment ID: I20120928000461 |
| Provider Name | John Dewayne Powell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457652679 PECOS PAC ID: 3870773955 Enrollment ID: I20121023000828 |
| Provider Name | Joseph Tristan N Oconer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942400858 PECOS PAC ID: 9234377300 Enrollment ID: I20130531000053 |
| Provider Name | Ingrid C Siadal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831387562 PECOS PAC ID: 6204075393 Enrollment ID: I20130621000121 |
| Provider Name | Nicholas Hedden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992007298 PECOS PAC ID: 5799924809 Enrollment ID: I20130621000328 |
| Provider Name | Laurie M Duff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356559280 PECOS PAC ID: 6800947193 Enrollment ID: I20130905000260 |
| Provider Name | Marie J Durbin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659365971 PECOS PAC ID: 3072609155 Enrollment ID: I20140107000912 |
| Provider Name | Janine Tracy Vansant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023285533 PECOS PAC ID: 2365683562 Enrollment ID: I20140603000536 |
| Provider Name | Dallas D Regan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053323170 PECOS PAC ID: 0648276055 Enrollment ID: I20140811001909 |
| Provider Name | Andrew L Winge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255328787 PECOS PAC ID: 4183818305 Enrollment ID: I20140812002448 |
| Provider Name | Tanja Epley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336119635 PECOS PAC ID: 9436212230 Enrollment ID: I20140925000324 |
| Provider Name | Travis Blackhurst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548528706 PECOS PAC ID: 9436307741 Enrollment ID: I20141025000008 |
| Provider Name | Rachel Mitzel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164720025 PECOS PAC ID: 5991980443 Enrollment ID: I20150206000584 |
| Provider Name | Brian D Wadley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124076732 PECOS PAC ID: 2264425966 Enrollment ID: I20150310001947 |
| Provider Name | Urmil S Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336119015 PECOS PAC ID: 1759469448 Enrollment ID: I20150406002277 |
| Provider Name | James W Bayuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770772493 PECOS PAC ID: 5991024879 Enrollment ID: I20150427000567 |
| Provider Name | Lauren Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013292952 PECOS PAC ID: 6305010380 Enrollment ID: I20150430000550 |
| Provider Name | Jennifer Gunnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386611234 PECOS PAC ID: 2860457264 Enrollment ID: I20151030002032 |
| Provider Name | Maria Margarita Turney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447491121 PECOS PAC ID: 2860542040 Enrollment ID: I20160301002351 |
| Provider Name | Jennifer C Brewer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467771295 PECOS PAC ID: 2769601822 Enrollment ID: I20160404000254 |
| Provider Name | Michelle D Pies |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700224516 PECOS PAC ID: 2769772664 Enrollment ID: I20160606001427 |
| Provider Name | Brett T. Greene |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912290032 PECOS PAC ID: 6709176589 Enrollment ID: I20160607001517 |
| Provider Name | Eva S Mccarthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548608417 PECOS PAC ID: 3476844119 Enrollment ID: I20160627002590 |
| Provider Name | Amanda R Johnston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063754257 PECOS PAC ID: 3870734486 Enrollment ID: I20160714001401 |
| Provider Name | Lauren Ilona Wikholm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982991147 PECOS PAC ID: 8123314465 Enrollment ID: I20160913000327 |
| Provider Name | Christopher P Kargel |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1053674317 PECOS PAC ID: 7214215714 Enrollment ID: I20161104000368 |
| Provider Name | Drue J Chandler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972801082 PECOS PAC ID: 5294912887 Enrollment ID: I20161130000622 |
| Provider Name | Carlye Spaulding |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699225201 PECOS PAC ID: 3577845601 Enrollment ID: I20170124002774 |
| Provider Name | Tina L Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932560067 PECOS PAC ID: 6406146240 Enrollment ID: I20170221000323 |
| Provider Name | Hammad Qadir |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750460192 PECOS PAC ID: 2365413952 Enrollment ID: I20170228002708 |
| Provider Name | Jared L Houck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790104784 PECOS PAC ID: 1951601327 Enrollment ID: I20170616002443 |
| Provider Name | Lynn Ej Gower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275708000 PECOS PAC ID: 1557631637 Enrollment ID: I20170721002724 |
| Provider Name | Brian Douglas Oakes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740737725 PECOS PAC ID: 6103105424 Enrollment ID: I20170804001959 |
| Provider Name | Robert Juan Joseph Dragotti Ii |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801107990 PECOS PAC ID: 7113239336 Enrollment ID: I20180130001028 |
| Provider Name | Kim Dang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922364512 PECOS PAC ID: 9638310915 Enrollment ID: I20180207001920 |
| Provider Name | Nicole K Mullins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881937118 PECOS PAC ID: 9133412059 Enrollment ID: I20180419002534 |
| Provider Name | Tyler Spalding Manson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679833131 PECOS PAC ID: 2961711767 Enrollment ID: I20180606001380 |
| Provider Name | Joaquin E Espinoza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407242977 PECOS PAC ID: 6608182118 Enrollment ID: I20180717002767 |
| Provider Name | Fahad Jamil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881075513 PECOS PAC ID: 1052621323 Enrollment ID: I20181008001855 |
| Provider Name | Benjamin J Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053745943 PECOS PAC ID: 5991057028 Enrollment ID: I20181017002598 |
| Provider Name | Andrew J Haputa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700855491 PECOS PAC ID: 7911936026 Enrollment ID: I20181213000575 |
| Provider Name | Ty C Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457865388 PECOS PAC ID: 6507101896 Enrollment ID: I20181213003047 |
| Provider Name | Dolly Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053707661 PECOS PAC ID: 4981949765 Enrollment ID: I20190129003568 |
| Provider Name | Robyn D Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841676335 PECOS PAC ID: 7618216326 Enrollment ID: I20190225000997 |
| Provider Name | Emily R Alvale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326394198 PECOS PAC ID: 6204055296 Enrollment ID: I20190327001744 |
| Provider Name | Arnold Cha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811320179 PECOS PAC ID: 0749505998 Enrollment ID: I20190522000408 |
| Provider Name | Melissa Sheffield |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487617502 PECOS PAC ID: 9234149634 Enrollment ID: I20190619001578 |
| Provider Name | Adrienne F Mee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346799590 PECOS PAC ID: 7012242233 Enrollment ID: I20190710003089 |
| Provider Name | Jamie E Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235587668 PECOS PAC ID: 0547548786 Enrollment ID: I20190725003449 |
| Provider Name | Elizabeth Apollo-loomis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083147334 PECOS PAC ID: 2062774417 Enrollment ID: I20190822002130 |
| Provider Name | Garrett M Pool |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194745984 PECOS PAC ID: 2163647314 Enrollment ID: I20191018001577 |
| Provider Name | Michelle M Shroyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083869796 PECOS PAC ID: 9335203843 Enrollment ID: I20191213001797 |
| Provider Name | Sara Alexandra Dunham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316477797 PECOS PAC ID: 2769819119 Enrollment ID: I20200714000670 |
| Provider Name | Kristin E Sinn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427366632 PECOS PAC ID: 7517159254 Enrollment ID: I20200810001449 |
| Provider Name | Heather S Mcmillen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366770117 PECOS PAC ID: 5294997748 Enrollment ID: I20200814000046 |
| Provider Name | Eric Timmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588262687 PECOS PAC ID: 3779994033 Enrollment ID: I20201118001418 |
| Provider Name | Molly E Holway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619568219 PECOS PAC ID: 6204242746 Enrollment ID: I20210309001464 |
| Provider Name | James A Frank |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447753249 PECOS PAC ID: 2365793072 Enrollment ID: I20210511001198 |
| Provider Name | Sarah Traser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952767253 PECOS PAC ID: 9133424625 Enrollment ID: I20210818003789 |
| Provider Name | Liska L Havel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114367919 PECOS PAC ID: 5597056176 Enrollment ID: I20210831003204 |
| Provider Name | Seth Lucas Griffin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477793859 PECOS PAC ID: 3173670247 Enrollment ID: I20210910001707 |
| Provider Name | Johannah Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790456895 PECOS PAC ID: 7618375080 Enrollment ID: I20211015000681 |
| Provider Name | Vickie Marie Larson-hills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821548728 PECOS PAC ID: 3870971476 Enrollment ID: I20220610001226 |
| Provider Name | Shannon Beard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003007915 PECOS PAC ID: 4385027986 Enrollment ID: I20220815001876 |
| Provider Name | Esther Lehmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376101261 PECOS PAC ID: 4385028547 Enrollment ID: I20220907002269 |
| Provider Name | James Richard Tesch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831659325 PECOS PAC ID: 4688072705 Enrollment ID: I20220907002836 |
| Provider Name | Thomas Crum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336761808 PECOS PAC ID: 3274956685 Enrollment ID: I20220907003045 |
| Provider Name | Stephanie Ridgley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205342391 PECOS PAC ID: 5092190306 Enrollment ID: I20220921004033 |
| Provider Name | Julie Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982910550 PECOS PAC ID: 7911321708 Enrollment ID: I20221107003345 |
| Provider Name | Nathanael Mark Eisenhut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992157424 PECOS PAC ID: 5092056572 Enrollment ID: I20221125000496 |
| Provider Name | Sheila M Crispin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679040026 PECOS PAC ID: 8325385156 Enrollment ID: I20221230001506 |
| Provider Name | Tricia Raye Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649994286 PECOS PAC ID: 0446375943 Enrollment ID: I20230620000468 |
| Provider Name | Teresa Joy Nitti |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255705521 PECOS PAC ID: 1557666823 Enrollment ID: I20230807003369 |
| Provider Name | Amelia Elizabeth Glazier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316442965 PECOS PAC ID: 2668723388 Enrollment ID: I20230825001166 |
| Provider Name | Amanda Ellen Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235457359 PECOS PAC ID: 7416071402 Enrollment ID: I20230919001865 |
| Provider Name | Derek Riley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295042976 PECOS PAC ID: 3971730466 Enrollment ID: I20231016000423 |
| Provider Name | Amanda Nicole Egan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104055003 PECOS PAC ID: 2264763622 Enrollment ID: I20240102003737 |
| Provider Name | Edwar Jose Fernando Estupinian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295236792 PECOS PAC ID: 1052756673 Enrollment ID: I20240305001352 |
Cascade Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1369 N 10th Ave, Stayton, OR 97383 Phone: 503-769-7546 Fax: 503-769-8563 | |
Guesly Dessieux, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Suite 100, Stayton, OR 97383 Phone: 503-769-6386 | |
Jeanne L Fitzpatrick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave Ste 100, Stayton, OR 97383 Phone: 503-769-4602 Fax: 503-769-5416 | |
Damian E. Jorgensen M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Suite 200, Stayton, OR 97383 Phone: 503-769-9070 Fax: 503-769-5416 | |
Patrick R. Arden D.c.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 E Washington St, Stayton, OR 97383 Phone: 503-769-2801 | |
Nancy Dougherty, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Suite 200, Stayton, OR 97383 Phone: 503-769-9362 Fax: 503-769-5416 | |
Santiam Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 N 10th Ave, Ste. 100, Stayton, OR 97383 Phone: 503-769-6386 Fax: 503-769-5647 |