| Adventist Health Columbia Gorge | |
|
1700 E 19th St The Dalles OR 97058-3317 | |
| (541) 296-1111 | |
| (541) 296-7619 |
| Full Name | Adventist Health Columbia Gorge |
|---|---|
| Speciality | General Practice |
| Location | 1700 E 19th St, The Dalles, Oregon |
| Authorized Official Name and Position | Tasha L Sandoval (CREDENTIALING LEAD) |
| Authorized Official Contact | 5415065710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventist Health Columbia Gorge 1700 E 19th St The Dalles OR 97058-3317 Ph: (541) 296-7668 | Adventist Health Columbia Gorge 1700 E 19th St The Dalles OR 97058-3317 Ph: (541) 296-1111 |
| NPI Number | 1053409599 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 06/16/2023 |
| Medicare PECOS PAC ID | 3779487251 |
|---|---|
| Medicare Enrollment ID | O20031209000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053409599 | NPI | - | NPPES |
| 070115 | Medicaid | OR | |
| 2008493 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Oregon) | Primary |
| Provider Name | Gary A Gingrich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992879514 PECOS PAC ID: 7012811847 Enrollment ID: I20031208000864 |
| Provider Name | Gregory C Hoskins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497793749 PECOS PAC ID: 5698760882 Enrollment ID: I20040524001378 |
| Provider Name | Jennifer Hanlon-wilde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033190574 PECOS PAC ID: 7719968312 Enrollment ID: I20040528000696 |
| Provider Name | James B Sholar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477509495 PECOS PAC ID: 1153307525 Enrollment ID: I20040625001125 |
| Provider Name | Erin M Burnham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336176544 PECOS PAC ID: 5496731861 Enrollment ID: I20040625001137 |
| Provider Name | Paul T Armerding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881635613 PECOS PAC ID: 0042296030 Enrollment ID: I20040629001000 |
| Provider Name | Patrick Grimsley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669416723 PECOS PAC ID: 0941286942 Enrollment ID: I20040629001097 |
| Provider Name | Lisa C Grant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801805627 PECOS PAC ID: 4082686985 Enrollment ID: I20040811000424 |
| Provider Name | Sonia J Schuemann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316929953 PECOS PAC ID: 7618941758 Enrollment ID: I20040824000557 |
| Provider Name | Judy R Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538141171 PECOS PAC ID: 0042289829 Enrollment ID: I20040928001273 |
| Provider Name | Stephanie Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720060353 PECOS PAC ID: 5496717894 Enrollment ID: I20050228000718 |
| Provider Name | Megumi M Morishita |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609854272 PECOS PAC ID: 7113951690 Enrollment ID: I20050923000445 |
| Provider Name | Daniel A Tomlinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053336487 PECOS PAC ID: 9032178405 Enrollment ID: I20051010000771 |
| Provider Name | Ingeborg Hindel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487600987 PECOS PAC ID: 3971526450 Enrollment ID: I20060111000153 |
| Provider Name | Jennifer L Larson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679512347 PECOS PAC ID: 4486669256 Enrollment ID: I20060215000388 |
| Provider Name | Stephen E F Spurgeon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194730606 PECOS PAC ID: 6901812262 Enrollment ID: I20060224000182 |
| Provider Name | Analene J Pentopoulos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508808890 PECOS PAC ID: 7012910060 Enrollment ID: I20060814000266 |
| Provider Name | Hahn Huang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841361482 PECOS PAC ID: 6608875117 Enrollment ID: I20061211000598 |
| Provider Name | Richard J Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477657617 PECOS PAC ID: 3173524576 Enrollment ID: I20070129000197 |
| Provider Name | Lawrence E Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396735346 PECOS PAC ID: 9335242353 Enrollment ID: I20070313000298 |
| Provider Name | Douglas N Beaman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295830917 PECOS PAC ID: 0345345856 Enrollment ID: I20070411000421 |
| Provider Name | Matthew D Proctor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932127412 PECOS PAC ID: 2466456488 Enrollment ID: I20070911000116 |
| Provider Name | Kerry A S Proctor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235353863 PECOS PAC ID: 2769570704 Enrollment ID: I20071108000588 |
| Provider Name | Glen R Patrizio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962484592 PECOS PAC ID: 2860580198 Enrollment ID: I20071120000112 |
| Provider Name | David J Cleveland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770559163 PECOS PAC ID: 1658345699 Enrollment ID: I20080317000277 |
| Provider Name | Rosina Serene Perkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588841522 PECOS PAC ID: 1850467069 Enrollment ID: I20080911000257 |
| Provider Name | Juliana E Hansen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1750397352 PECOS PAC ID: 8022014000 Enrollment ID: I20081023000153 |
| Provider Name | Akram Khan |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1710993498 PECOS PAC ID: 1850380973 Enrollment ID: I20081028000329 |
| Provider Name | Paul J Cardosi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013985084 PECOS PAC ID: 6901987080 Enrollment ID: I20090121000300 |
| Provider Name | Chad L Carr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912119603 PECOS PAC ID: 6002964301 Enrollment ID: I20090424000164 |
| Provider Name | Nicole M Pashek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043241144 PECOS PAC ID: 5496808628 Enrollment ID: I20090805000198 |
| Provider Name | Ryan J Petersen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568551521 PECOS PAC ID: 0749342251 Enrollment ID: I20090910000368 |
| Provider Name | Gretchen E Blair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750364451 PECOS PAC ID: 6103810585 Enrollment ID: I20091214000771 |
| Provider Name | Kimberly A Humann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417919325 PECOS PAC ID: 3072529262 Enrollment ID: I20100126000139 |
| Provider Name | Ronald Chelsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851383707 PECOS PAC ID: 8527148162 Enrollment ID: I20100311000750 |
| Provider Name | Mark V Hart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134111669 PECOS PAC ID: 7517047152 Enrollment ID: I20100323000867 |
| Provider Name | Robert J Alaimo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033192273 PECOS PAC ID: 0941332423 Enrollment ID: I20100719000877 |
| Provider Name | Jessica R Weiss |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770519902 PECOS PAC ID: 4880697952 Enrollment ID: I20100804000082 |
| Provider Name | Paul O Moon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689690398 PECOS PAC ID: 4789629874 Enrollment ID: I20101027001068 |
| Provider Name | Mandelynn G Pray |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124346994 PECOS PAC ID: 2264626241 Enrollment ID: I20101103001055 |
| Provider Name | Marc W Mcallister |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336274265 PECOS PAC ID: 8123214772 Enrollment ID: I20101122001420 |
| Provider Name | Keith J Stelzer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1881682573 PECOS PAC ID: 9335170240 Enrollment ID: I20101206000452 |
| Provider Name | Laura A Flath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780806125 PECOS PAC ID: 2466649728 Enrollment ID: I20101213000429 |
| Provider Name | Meghan C Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598072167 PECOS PAC ID: 1759579550 Enrollment ID: I20101221000361 |
| Provider Name | Kenneth A Hahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417074345 PECOS PAC ID: 8820180508 Enrollment ID: I20110103001078 |
| Provider Name | Rodney D Mcdowell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700944006 PECOS PAC ID: 3971788233 Enrollment ID: I20110502000048 |
| Provider Name | Fawaz S Alhumaid |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1255515938 PECOS PAC ID: 9739365396 Enrollment ID: I20110516000490 |
| Provider Name | Bruce Louis Bobek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225028343 PECOS PAC ID: 0749458941 Enrollment ID: I20110713000803 |
| Provider Name | Pavan Chopra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851473730 PECOS PAC ID: 1759312028 Enrollment ID: I20110823001062 |
| Provider Name | Aleksandra A Mcleod |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457564833 PECOS PAC ID: 4587835657 Enrollment ID: I20110921000393 |
| Provider Name | Jeffrey R Mathisen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740200484 PECOS PAC ID: 7416992508 Enrollment ID: I20120110000835 |
| Provider Name | Kathleen J Wilder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861609521 PECOS PAC ID: 6608964655 Enrollment ID: I20120223000506 |
| Provider Name | Daniel H Laury |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508846932 PECOS PAC ID: 9537329057 Enrollment ID: I20120320001045 |
| Provider Name | Joshua Hurwitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902065535 PECOS PAC ID: 9032392410 Enrollment ID: I20120416000123 |
| Provider Name | Brittany E Fallon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497037675 PECOS PAC ID: 3678736303 Enrollment ID: I20120516000619 |
| Provider Name | Jason R Morich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043530587 PECOS PAC ID: 8820245731 Enrollment ID: I20120829000122 |
| Provider Name | James Patrick Petrusich |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073870689 PECOS PAC ID: 2163673948 Enrollment ID: I20121127000534 |
| Provider Name | Sarah Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942551353 PECOS PAC ID: 1456505585 Enrollment ID: I20130125000190 |
| Provider Name | James E Meeker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659592566 PECOS PAC ID: 2769651520 Enrollment ID: I20130822000088 |
| Provider Name | Alyssa M Sponhauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821432923 PECOS PAC ID: 9234352683 Enrollment ID: I20140603002183 |
| Provider Name | Jane Ellen Corboy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235219676 PECOS PAC ID: 0143415075 Enrollment ID: I20140927000149 |
| Provider Name | Jeffrey Stageberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194764266 PECOS PAC ID: 5294768800 Enrollment ID: I20141024001229 |
| Provider Name | Brian Moyers |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1922274828 PECOS PAC ID: 8527289883 Enrollment ID: I20141030000502 |
| Provider Name | Debra A Bariletti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508091885 PECOS PAC ID: 4688713993 Enrollment ID: I20150204000023 |
| Provider Name | Allean C Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144540063 PECOS PAC ID: 8325164304 Enrollment ID: I20150417000893 |
| Provider Name | Timothy R Gobble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003174632 PECOS PAC ID: 3274774559 Enrollment ID: I20150527002814 |
| Provider Name | Rebecca Samet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477509503 PECOS PAC ID: 8729012943 Enrollment ID: I20150623000844 |
| Provider Name | Philip E Hanline |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609840792 PECOS PAC ID: 5597856492 Enrollment ID: I20150713003193 |
| Provider Name | Jared Shannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730524604 PECOS PAC ID: 8820223746 Enrollment ID: I20150720001895 |
| Provider Name | Phillip Letourneau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891021960 PECOS PAC ID: 1658409040 Enrollment ID: I20150728006118 |
| Provider Name | Claire-alyce Rochelle Gobble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588917009 PECOS PAC ID: 7315160165 Enrollment ID: I20150810002447 |
| Provider Name | Sophia Bornstein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639498561 PECOS PAC ID: 3577718295 Enrollment ID: I20150826002712 |
| Provider Name | Caitlin K Mccarthy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609187681 PECOS PAC ID: 3072736776 Enrollment ID: I20150828000777 |
| Provider Name | Diane K Rosonke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861666067 PECOS PAC ID: 1658414156 Enrollment ID: I20151229002450 |
| Provider Name | Rebecca J Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881067809 PECOS PAC ID: 4789980384 Enrollment ID: I20160308001727 |
| Provider Name | Michael Kenner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417912460 PECOS PAC ID: 4082632849 Enrollment ID: I20160502002000 |
| Provider Name | Jessica A Radley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487076154 PECOS PAC ID: 6507155678 Enrollment ID: I20160512000582 |
| Provider Name | Frank A Santoli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639272073 PECOS PAC ID: 1759445604 Enrollment ID: I20160818002035 |
| Provider Name | James P Reardon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891889978 PECOS PAC ID: 7315080900 Enrollment ID: I20161027001433 |
| Provider Name | Paul Eric Sorenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659517894 PECOS PAC ID: 3072894393 Enrollment ID: I20161228002295 |
| Provider Name | Mark A Parra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053387431 PECOS PAC ID: 8527002716 Enrollment ID: I20170512001927 |
| Provider Name | Ratna Bitra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619347606 PECOS PAC ID: 1052681806 Enrollment ID: I20170801002863 |
| Provider Name | Carmen L Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144745860 PECOS PAC ID: 6406121045 Enrollment ID: I20171006000753 |
| Provider Name | Jennifer Lee Morrison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720428642 PECOS PAC ID: 6204194327 Enrollment ID: I20171219002629 |
| Provider Name | Lindsay M W Mchugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245601533 PECOS PAC ID: 3779884705 Enrollment ID: I20180122000327 |
| Provider Name | Abdul Hai Kazemy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962589176 PECOS PAC ID: 3870855125 Enrollment ID: I20180326001353 |
| Provider Name | Nicholas D Boespflug |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497140909 PECOS PAC ID: 2668789728 Enrollment ID: I20180516002994 |
| Provider Name | William Brad Farris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598105454 PECOS PAC ID: 9638462427 Enrollment ID: I20180621001501 |
| Provider Name | Meredith Caroline Schaffner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932468576 PECOS PAC ID: 0840417515 Enrollment ID: I20180622002276 |
| Provider Name | Maricela Elena Bandel-ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205338084 PECOS PAC ID: 9537416912 Enrollment ID: I20180716003270 |
| Provider Name | Jaskeerat Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487035945 PECOS PAC ID: 4981915600 Enrollment ID: I20180723002902 |
| Provider Name | Amy Kathryn Forrest |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225475650 PECOS PAC ID: 3577815042 Enrollment ID: I20181010003493 |
| Provider Name | Erin R Boehm |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164788808 PECOS PAC ID: 7315255171 Enrollment ID: I20181031002421 |
| Provider Name | David A Kantorowitz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316959646 PECOS PAC ID: 3173416518 Enrollment ID: I20190213001401 |
| Provider Name | Levanto Gershon Schachter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093031668 PECOS PAC ID: 4880836469 Enrollment ID: I20190517000754 |
| Provider Name | Mary Carroll Francis Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184003279 PECOS PAC ID: 3779890611 Enrollment ID: I20190820002285 |
| Provider Name | Jayant Md Eldurkar |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1548346109 PECOS PAC ID: 5092043430 Enrollment ID: I20190823000948 |
| Provider Name | Gail K Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356636351 PECOS PAC ID: 8325356884 Enrollment ID: I20191002003030 |
| Provider Name | Daniel A Feldman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033351093 PECOS PAC ID: 6507081494 Enrollment ID: I20191014003265 |
| Provider Name | Wendelyn Elizabeth Shue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700272572 PECOS PAC ID: 5395028153 Enrollment ID: I20191023002698 |
| Provider Name | Courtney Margaret Craigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487127676 PECOS PAC ID: 2567894983 Enrollment ID: I20191122001455 |
| Provider Name | Justin Holt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902225709 PECOS PAC ID: 9133346778 Enrollment ID: I20200115000983 |
| Provider Name | Rachel Morenz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275977472 PECOS PAC ID: 3971744491 Enrollment ID: I20200203001367 |
| Provider Name | Johnlukas Webb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851724561 PECOS PAC ID: 2567893936 Enrollment ID: I20200519002205 |
| Provider Name | Brian Scrivens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821429630 PECOS PAC ID: 6406107812 Enrollment ID: I20200528000484 |
| Provider Name | Chelsey Morss-alberts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538493580 PECOS PAC ID: 5294871901 Enrollment ID: I20200624000919 |
| Provider Name | Jennifer Zimmerman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265057772 PECOS PAC ID: 2264855709 Enrollment ID: I20200701000211 |
| Provider Name | Melody Wilson Acosta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760045793 PECOS PAC ID: 3476976762 Enrollment ID: I20200703000045 |
| Provider Name | Lisa Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720412901 PECOS PAC ID: 6800169996 Enrollment ID: I20200805001948 |
| Provider Name | Michael Duncan Kiefer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447690102 PECOS PAC ID: 8820301583 Enrollment ID: I20200824002803 |
| Provider Name | Emily J Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295236271 PECOS PAC ID: 6901161322 Enrollment ID: I20201028003144 |
| Provider Name | Jack Charles Hamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932633385 PECOS PAC ID: 2264773613 Enrollment ID: I20201030002491 |
| Provider Name | Keenan Michael Griego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346858404 PECOS PAC ID: 4385069608 Enrollment ID: I20201202002309 |
| Provider Name | Edward Tilghman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265917173 PECOS PAC ID: 3173860376 Enrollment ID: I20201209003239 |
| Provider Name | Eden Fair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730796525 PECOS PAC ID: 6103239835 Enrollment ID: I20210119001278 |
| Provider Name | Claire Unruh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467959098 PECOS PAC ID: 9537418678 Enrollment ID: I20210223002192 |
| Provider Name | Eiko Klimant |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154354967 PECOS PAC ID: 4385618891 Enrollment ID: I20210409001496 |
| Provider Name | Hanorah B Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730765579 PECOS PAC ID: 3375951502 Enrollment ID: I20210427003141 |
| Provider Name | Judd T Salamat |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912139411 PECOS PAC ID: 5991941155 Enrollment ID: I20210526002919 |
| Provider Name | Dhiraj K Yadav |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1104267608 PECOS PAC ID: 6406087790 Enrollment ID: I20210701002595 |
| Provider Name | Clairalyn Baucom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760569339 PECOS PAC ID: 1951718261 Enrollment ID: I20210714001287 |
| Provider Name | Monique Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215244116 PECOS PAC ID: 3173927910 Enrollment ID: I20210802001737 |
| Provider Name | David R Ostrander |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851303044 PECOS PAC ID: 4183700032 Enrollment ID: I20210816003621 |
| Provider Name | Satish Chintamani Mohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053663757 PECOS PAC ID: 7618373572 Enrollment ID: I20210901002675 |
| Provider Name | Christopher B Chapman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124525951 PECOS PAC ID: 2062769227 Enrollment ID: I20210903001047 |
| Provider Name | Tony Chen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295116499 PECOS PAC ID: 7719294552 Enrollment ID: I20210907003170 |
| Provider Name | David Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952382137 PECOS PAC ID: 1557456233 Enrollment ID: I20210924002219 |
| Provider Name | Scott Brodarick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821055492 PECOS PAC ID: 7517991151 Enrollment ID: I20211015002062 |
| Provider Name | Perrin Nimlos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619330834 PECOS PAC ID: 1456785427 Enrollment ID: I20211018002558 |
| Provider Name | Robin V Suess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063798353 PECOS PAC ID: 3476712985 Enrollment ID: I20211020000323 |
| Provider Name | John M Tuck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447614607 PECOS PAC ID: 3577858778 Enrollment ID: I20211028002116 |
| Provider Name | Katerina Erokhina |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437404571 PECOS PAC ID: 8729334784 Enrollment ID: I20211213001824 |
| Provider Name | Wendell N Williams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164477287 PECOS PAC ID: 8325937154 Enrollment ID: I20220106002449 |
| Provider Name | Helen Goldberg |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1790723666 PECOS PAC ID: 3678535333 Enrollment ID: I20220124001392 |
| Provider Name | John Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306929252 PECOS PAC ID: 9234294703 Enrollment ID: I20220201002122 |
| Provider Name | Frank Stackhouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164551255 PECOS PAC ID: 7911023247 Enrollment ID: I20220401001011 |
| Provider Name | Debra L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689027153 PECOS PAC ID: 2466730296 Enrollment ID: I20220427001603 |
| Provider Name | Scott R Hawken |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366890717 PECOS PAC ID: 0840580809 Enrollment ID: I20220427001830 |
| Provider Name | Gregory Stoner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023515871 PECOS PAC ID: 4082016670 Enrollment ID: I20220429000638 |
| Provider Name | Desiree West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942968946 PECOS PAC ID: 4385031491 Enrollment ID: I20220505000990 |
| Provider Name | Sally Huey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871585000 PECOS PAC ID: 0840286530 Enrollment ID: I20220506001878 |
| Provider Name | Angela Aurit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639479405 PECOS PAC ID: 3678950300 Enrollment ID: I20220518000365 |
| Provider Name | Becky Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164849865 PECOS PAC ID: 8820221096 Enrollment ID: I20220627002165 |
| Provider Name | Matthew J Burky |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104353879 PECOS PAC ID: 4385916477 Enrollment ID: I20220802001885 |
| Provider Name | Michael Gardner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427410117 PECOS PAC ID: 6800182791 Enrollment ID: I20220810002477 |
| Provider Name | Paris Gilbert Russ Kenzo Aaron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871079111 PECOS PAC ID: 3173955135 Enrollment ID: I20220912000688 |
| Provider Name | Audrey Tran |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952419491 PECOS PAC ID: 6507857067 Enrollment ID: I20220916001036 |
| Provider Name | Loranee Braun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215029566 PECOS PAC ID: 1153452610 Enrollment ID: I20220923000844 |
| Provider Name | Avie Stacy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053628958 PECOS PAC ID: 0042686818 Enrollment ID: I20221019001270 |
| Provider Name | Antoinette E Corson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982212189 PECOS PAC ID: 8426424169 Enrollment ID: I20221020000633 |
| Provider Name | Natalie Burky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558891010 PECOS PAC ID: 5890068589 Enrollment ID: I20221027003132 |
| Provider Name | Rebekah D Pairsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235303298 PECOS PAC ID: 8628146032 Enrollment ID: I20221130001328 |
| Provider Name | Desiree Crane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447578711 PECOS PAC ID: 6608020805 Enrollment ID: I20221216000594 |
| Provider Name | Jami Adair Knox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518998053 PECOS PAC ID: 7214008002 Enrollment ID: I20221223000247 |
| Provider Name | Sarah Lawson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457613606 PECOS PAC ID: 3375815921 Enrollment ID: I20230103000345 |
| Provider Name | Gregory Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841305042 PECOS PAC ID: 9638077159 Enrollment ID: I20230113000383 |
| Provider Name | Mark Vellek |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1063409688 PECOS PAC ID: 9335166776 Enrollment ID: I20230213000510 |
| Provider Name | David Brauner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346213196 PECOS PAC ID: 6103914940 Enrollment ID: I20230214002105 |
| Provider Name | Shirelle Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144797085 PECOS PAC ID: 2769728005 Enrollment ID: I20230405001328 |
| Provider Name | M. Janice Ballou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952300105 PECOS PAC ID: 6406211242 Enrollment ID: I20230428002613 |
| Provider Name | Madhumithaa Bharadwaj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952754640 PECOS PAC ID: 7416388814 Enrollment ID: I20230524002923 |
| Provider Name | Winnifred M Wong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144554148 PECOS PAC ID: 4385913573 Enrollment ID: I20230725002555 |
| Provider Name | Matthew C Metzger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396374898 PECOS PAC ID: 2769805944 Enrollment ID: I20230727002168 |
| Provider Name | Hoang Huu Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598290603 PECOS PAC ID: 8123449956 Enrollment ID: I20230905001354 |
| Provider Name | Lauren Youjin Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164811931 PECOS PAC ID: 5991083644 Enrollment ID: I20230915002747 |
| Provider Name | Cynthia Tucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366437998 PECOS PAC ID: 2860482122 Enrollment ID: I20230918003701 |
| Provider Name | Kerkula J.t Pehlke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205237294 PECOS PAC ID: 6002268489 Enrollment ID: I20240122002487 |
| Provider Name | Stephen Bradley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861700734 PECOS PAC ID: 1850734591 Enrollment ID: I20240208004510 |
One Community Health- The Dalles Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Webber St, The Dalles, OR 97058 Phone: 541-296-4610 | |
Mid-columbia Health Service, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-296-7760 Fax: 541-296-7619 | |
Water's Edge Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 551 Lone Pine Blvd, The Dalles, OR 97058 Phone: 541-506-6920 Fax: 541-296-5451 | |
Fran M Yuhas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 E 19th St, Suite 3, The Dalles, OR 97058 Phone: 509-493-1467 Fax: 509-493-3765 | |
Adventist Health Columbia Gorge Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1935 E 19th St, The Dalles, OR 97058 Phone: 541-506-6520 | |
Columbia River Medical Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1615 E 12th St, Suite 100, The Dalles, OR 97058 Phone: 541-296-1919 Fax: 541-296-2253 |