| 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 | 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 | 10/12/2026 |
| Certification Date | 10/12/2026 |
| Medicare PECOS PAC ID | 4486876240 |
|---|---|
| Medicare Enrollment ID | O20141111000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255760070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| Provider Name | Viktoriya Dimaku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619404316 PECOS PAC ID: 6002189347 Enrollment ID: I20170907002231 |
| Provider Name | Amber Jean Ray Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902223035 PECOS PAC ID: 0446473698 Enrollment ID: I20180222002397 |
| Provider Name | Erin Hanlon Genereux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043899875 PECOS PAC ID: 5294124509 Enrollment ID: I20211108000892 |
| Provider Name | Jeanette Hazel Marie Reiners |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609418722 PECOS PAC ID: 8022443381 Enrollment ID: I20220825001489 |
| 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 |
| Provider Name | Graceful Iris Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114759578 PECOS PAC ID: 5698215267 Enrollment ID: I20240919001209 |
| Provider Name | Nellyda M Anslow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225437734 PECOS PAC ID: 2668794157 Enrollment ID: I20241023001398 |
| Provider Name | Ryan S Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023516911 PECOS PAC ID: 6204199441 Enrollment ID: I20250826003920 |
| Provider Name | Cindy Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083574123 PECOS PAC ID: 2668956228 Enrollment ID: I20260320003069 |
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