| Mountain View Medical Center | |
|
1909 Mountain View Ln #200 Forest Grove OR 97116-2893 | |
| (503) 359-4773 | |
| (503) 359-3809 |
| Full Name | Mountain View Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1909 Mountain View Ln, Forest Grove, Oregon |
| Authorized Official Name and Position | Timothy J. Gray (OWNER) |
| Authorized Official Contact | 5033594773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Medical Center Po Box 189 Forest Grove OR 97116-0189 Ph: (503) 359-4773 | Mountain View Medical Center 1909 Mountain View Ln #200 Forest Grove OR 97116-2893 Ph: (503) 359-4773 |
| NPI Number | 1477518694 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 04/27/2021 |
| Medicare PECOS PAC ID | 1355390584 |
|---|---|
| Medicare Enrollment ID | O20050114000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477518694 | NPI | - | NPPES |
| 022891 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Oregon) | Primary |
| Provider Name | Timothy J Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699770057 PECOS PAC ID: 8729037981 Enrollment ID: I20050117000329 |
| Provider Name | Timothy J Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003810441 PECOS PAC ID: 7810946076 Enrollment ID: I20050117000373 |
| Provider Name | Karen Ann Kirwan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588668933 PECOS PAC ID: 1850331950 Enrollment ID: I20050509000405 |
| Provider Name | Benjamin R Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548520869 PECOS PAC ID: 4880911965 Enrollment ID: I20150914002613 |
| 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 | Thomas Christopher Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174898373 PECOS PAC ID: 5890078687 Enrollment ID: I20170201000605 |
| Provider Name | Emily R Charlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407330889 PECOS PAC ID: 0941548663 Enrollment ID: I20190205001346 |
| Provider Name | Gabrielle Dorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487120358 PECOS PAC ID: 9537406301 Enrollment ID: I20200210000226 |
| Provider Name | Catherine Angela Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912322363 PECOS PAC ID: 4385043363 Enrollment ID: I20210524002655 |
| Provider Name | Jonielle Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790120376 PECOS PAC ID: 3678973633 Enrollment ID: I20210611002240 |
| Provider Name | Suly A. Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811666795 PECOS PAC ID: 2961892815 Enrollment ID: I20211208000659 |
| Provider Name | Shayna Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740933597 PECOS PAC ID: 2466816681 Enrollment ID: I20230906003376 |
Geneva Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3838 Pacific Ave, Forest Grove, OR 97116 Phone: 503-992-0288 Fax: 503-359-4724 | |
Maple Street Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-357-2136 Fax: 503-359-5479 | |
Main Street Dental Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2016 Main St, Forest Grove, OR 97116 Phone: 503-357-3711 Fax: 503-992-1939 | |
Marilyn J Booth Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3305 19th Ave, Forest Grove, OR 97116 Phone: 503-357-7194 Fax: 503-357-5735 | |
Bours Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3303 19th Ave, Forest Grove, OR 97116 Phone: 503-357-6119 Fax: 503-359-5750 | |
Northwest Pain Institute Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2005 Cedar St, Forest Grove, OR 97116 Phone: 503-883-8297 |