| Marquis Clinical Services Llc | |
|
4560 Se International Way Suite 100 Milwaukie OR 97222 | |
| (971) 206-5164 | |
| (971) 206-5200 |
| Full Name | Marquis Clinical Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4560 Se International Way, Milwaukie, Oregon |
| Authorized Official Name and Position | Lindsey Marie Schaub (CLINICAL SERVICES MANAGER) |
| Authorized Official Contact | 9712065179 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marquis Clinical Services Llc 4560 Se International Way Suite 100 Milwaukie OR 97222 Ph: (971) 206-5164 | Marquis Clinical Services Llc 4560 Se International Way Suite 100 Milwaukie OR 97222 Ph: (971) 206-5164 |
| NPI Number | 1710427810 |
|---|---|
| Provider Enumeration Date | 03/08/2017 |
| Last Update Date | 05/12/2020 |
| Medicare PECOS PAC ID | 2860827821 |
|---|---|
| Medicare Enrollment ID | O20200121002375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710427810 | NPI | - | NPPES |
| Provider Name | Mario Seyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942251293 PECOS PAC ID: 0749248623 Enrollment ID: I20041222000877 |
| Provider Name | Suzanne D Webber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861562852 PECOS PAC ID: 3476457599 Enrollment ID: I20050607000921 |
| Provider Name | Aviva J Zigman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013970060 PECOS PAC ID: 6406886134 Enrollment ID: I20050816000281 |
| Provider Name | Kerry Lee O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366418535 PECOS PAC ID: 7719072388 Enrollment ID: I20070927000955 |
| Provider Name | William M Gaskill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487686440 PECOS PAC ID: 6608885447 Enrollment ID: I20090123000070 |
| Provider Name | Swapna Chennareddygari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558565150 PECOS PAC ID: 7416000385 Enrollment ID: I20101126000012 |
| Provider Name | Joanne L Miracle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922043462 PECOS PAC ID: 3779772512 Enrollment ID: I20110111000187 |
| Provider Name | Nancy L Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477814507 PECOS PAC ID: 3173771151 Enrollment ID: I20120917000525 |
| Provider Name | Brian T Pavic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972822195 PECOS PAC ID: 1254577869 Enrollment ID: I20130425000569 |
| Provider Name | Tara M Wendlandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891103743 PECOS PAC ID: 5698994481 Enrollment ID: I20140909001920 |
| Provider Name | Heather Dryden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528367133 PECOS PAC ID: 0244451920 Enrollment ID: I20141022000064 |
| Provider Name | Angela M Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447507462 PECOS PAC ID: 3375793755 Enrollment ID: I20151020002853 |
| Provider Name | Gwen Patricia Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366988149 PECOS PAC ID: 2961764006 Enrollment ID: I20180329001178 |
| Provider Name | Salina A Sahle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699145102 PECOS PAC ID: 2860792918 Enrollment ID: I20180614000422 |
| Provider Name | Nancy A Knechel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871757211 PECOS PAC ID: 6305909995 Enrollment ID: I20191125003123 |
| Provider Name | Sharon Jeanne Doty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275179236 PECOS PAC ID: 5890120877 Enrollment ID: I20200122000256 |
| Provider Name | Lisa Hiestand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831554484 PECOS PAC ID: 0345543328 Enrollment ID: I20200327000541 |
| Provider Name | Brooke Marie Ottman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497388797 PECOS PAC ID: 4587080916 Enrollment ID: I20200817001939 |
| Provider Name | Brenna Laine Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073109401 PECOS PAC ID: 7315350576 Enrollment ID: I20210106003134 |
| Provider Name | Eva-lynn Lund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023693462 PECOS PAC ID: 2062829575 Enrollment ID: I20210330001644 |
| Provider Name | Meskelo Bobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659933075 PECOS PAC ID: 6507292851 Enrollment ID: I20211130001587 |
| Provider Name | Jasudha Ranabhat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619636388 PECOS PAC ID: 9436540416 Enrollment ID: I20211230000452 |
| Provider Name | Denise Lynn Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215300892 PECOS PAC ID: 3971805078 Enrollment ID: I20220912001115 |
| Provider Name | Zenebe Gedamu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114553898 PECOS PAC ID: 6406270461 Enrollment ID: I20230420002978 |
| Provider Name | Sushkara Lamichhane Dhakal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366223026 PECOS PAC ID: 0143677831 Enrollment ID: I20231117001584 |
| Provider Name | Alexis Leigh Bullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447947544 PECOS PAC ID: 0244682672 Enrollment ID: I20240122000655 |
Providence Medical Group Milwaukie Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10330 Se 32nd Ave, Suite 305, Milwaukie, OR 97222 Phone: 503-513-1800 Fax: 503-513-1850 | |
Flow Natural Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11630 Se 40th Ave, Suite C, Milwaukie, OR 97222 Phone: 503-974-9283 Fax: 503-715-0446 | |
Providence Medical Group Anticoagulation Telephone Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Se Dwyer Dr, Suite 304, Milwaukie, OR 97222 Phone: 503-513-8043 | |
Northwest Primary Care Group Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10024 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-654-5666 | |
Neighborhood Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10330 Se 32nd Ave Ste 325, Milwaukie, OR 97222 Phone: 503-416-1960 Fax: 503-416-1959 | |
Outside In Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11300 Se 23rd Avenue, Milwaukie High School Health & Wellness Center, Milwaukie, OR 97222 Phone: 503-535-3861 Fax: 503-223-6837 | |
Marcus Cornwall, Dopc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6542 Se Lake Rd Ste 202, Milwaukie, OR 97222 Phone: 503-233-5273 Fax: 855-492-8902 |