| Ohsu Outpatient Clinical Services Llc | |
|
11200 Sw Murray Scholls Pl Ste 100 Beaverton OR 97007-9816 | |
| (503) 418-9470 | |
| Not Available |
| Full Name | Ohsu Outpatient Clinical Services Llc |
|---|---|
| Speciality | General Practice |
| Location | 11200 Sw Murray Scholls Pl Ste 100, Beaverton, Oregon |
| Authorized Official Name and Position | Kelly Anne Smith (VP/ENTERPRISE REVENUE CYCLE) |
| Authorized Official Contact | 5034944422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohsu Outpatient Clinical Services Llc 1400 Sw 5th Ave Fl 5 Portland OR 97201-5509 Ph: (866) 617-6855 | Ohsu Outpatient Clinical Services Llc 11200 Sw Murray Scholls Pl Ste 100 Beaverton OR 97007-9816 Ph: (503) 418-9470 |
| NPI Number | 1336824440 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 09/12/2025 |
| Medicare PECOS PAC ID | 7315300571 |
|---|---|
| Medicare Enrollment ID | O20230906000508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336824440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Valerie J Priest |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912989047 PECOS PAC ID: 8527094093 Enrollment ID: I20050715000475 |
| Provider Name | Scott W Beadnell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629206248 PECOS PAC ID: 7113072299 Enrollment ID: I20090826000615 |
| Provider Name | Teresa F Wright |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447704812 PECOS PAC ID: 2264781913 Enrollment ID: I20180814002497 |
| Provider Name | Angelo Joseph Bologna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558843870 PECOS PAC ID: 8224372917 Enrollment ID: I20191004002711 |
| Provider Name | Paula Tran |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720617798 PECOS PAC ID: 6002237179 Enrollment ID: I20200527001768 |
| Provider Name | Lindsay Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508098393 PECOS PAC ID: 5991841942 Enrollment ID: I20200601002992 |
| Provider Name | Suzanne L. Bauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851455414 PECOS PAC ID: 5799107876 Enrollment ID: I20200618000211 |
| Provider Name | Marvin C Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730718768 PECOS PAC ID: 5294157236 Enrollment ID: I20200622001809 |
| Provider Name | Cecelia Micaela Gutierrez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518096353 PECOS PAC ID: 2668713843 Enrollment ID: I20200622001971 |
| Provider Name | Kim Marie Osterberger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790079572 PECOS PAC ID: 8921420852 Enrollment ID: I20200623002909 |
| Provider Name | Whitney Leipzig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356617583 PECOS PAC ID: 7719300268 Enrollment ID: I20200701000535 |
| Provider Name | Devon L Hordes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336525294 PECOS PAC ID: 7517384019 Enrollment ID: I20200824000659 |
| Provider Name | Sara Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598931826 PECOS PAC ID: 1658781778 Enrollment ID: I20201030002346 |
| Provider Name | Diane Kyung-ah Kwon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942894209 PECOS PAC ID: 7618385238 Enrollment ID: I20210421000516 |
| Provider Name | Catherine Porycki |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821764879 PECOS PAC ID: 1355796400 Enrollment ID: I20231010004174 |
| Provider Name | Rasika Hatti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114592649 PECOS PAC ID: 5991105447 Enrollment ID: I20231012002154 |
| Provider Name | Nylah Hazard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689154502 PECOS PAC ID: 6608110036 Enrollment ID: I20231018003685 |
| Provider Name | Analisa Vanoostrum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972145597 PECOS PAC ID: 6709231293 Enrollment ID: I20231018004149 |
| Provider Name | Mattie Roesch-orozco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619564515 PECOS PAC ID: 4486068913 Enrollment ID: I20231019002781 |
| Provider Name | Maile Elizabeth Altier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194496786 PECOS PAC ID: 8325494990 Enrollment ID: I20231102001803 |
| Provider Name | Jamal Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891217709 PECOS PAC ID: 0749666352 Enrollment ID: I20231103003499 |
| Provider Name | Christen Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841810868 PECOS PAC ID: 5092162495 Enrollment ID: I20231107000924 |
| Provider Name | Jayson Manning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376220038 PECOS PAC ID: 0749638351 Enrollment ID: I20231120003387 |
| Provider Name | Shilpa Patil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881444917 PECOS PAC ID: 1052753043 Enrollment ID: I20240522001488 |
| Provider Name | Sophia Jean Mays |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922826254 PECOS PAC ID: 4789110776 Enrollment ID: I20241213002711 |
| Provider Name | Mikaela Bernards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417738121 PECOS PAC ID: 0042720237 Enrollment ID: I20250606002542 |
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