| Peacehealth | |
|
380 9th St Florence OR 97439-9470 | |
| (541) 997-7134 | |
| (541) 902-7533 |
| Full Name | Peacehealth |
|---|---|
| Speciality | Clinic/Center |
| Location | 380 9th St, Florence, Oregon |
| Authorized Official Name and Position | Richard L Yecny (CEO) |
| Authorized Official Contact | 5419026540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peacehealth Po Box 24410 Eugene OR 97402-0451 Ph: (541) 902-6140 | Peacehealth 380 9th St Florence OR 97439-9470 Ph: (541) 997-7134 |
| NPI Number | 1982774378 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 04/08/2013 |
| Medicare PECOS PAC ID | 4587573001 |
|---|---|
| Medicare Enrollment ID | O20031215000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982774378 | NPI | - | NPPES |
| 055322 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 140711 (Oregon) | Primary |
| Provider Name | Michael D Weinstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326016999 PECOS PAC ID: 7012994981 Enrollment ID: I20040630000155 |
| Provider Name | Paul R Stauffer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649208422 PECOS PAC ID: 1658359955 Enrollment ID: I20040713000282 |
| Provider Name | Sharon H Flynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184694812 PECOS PAC ID: 3779563606 Enrollment ID: I20040722000009 |
| Provider Name | Leo Cytrynbaum |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1659341386 PECOS PAC ID: 1951381888 Enrollment ID: I20040722000020 |
| Provider Name | Scott C Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497794127 PECOS PAC ID: 0244201473 Enrollment ID: I20040803000230 |
| Provider Name | Bruce M Watanabe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497798367 PECOS PAC ID: 9931147832 Enrollment ID: I20050421000182 |
| Provider Name | Emily S Downing Moore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801865738 PECOS PAC ID: 7810981081 Enrollment ID: I20050608000042 |
| Provider Name | Jacquelyn L Serrano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700998788 PECOS PAC ID: 4385675941 Enrollment ID: I20050824000438 |
| Provider Name | Julie C Scalisi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396773032 PECOS PAC ID: 4486660537 Enrollment ID: I20060227000327 |
| Provider Name | Michael L Day |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457309361 PECOS PAC ID: 8729972955 Enrollment ID: I20061103000295 |
| Provider Name | Bradley S Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295757516 PECOS PAC ID: 7113926791 Enrollment ID: I20061208000150 |
| Provider Name | Stephen S Kerner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073690434 PECOS PAC ID: 0547230518 Enrollment ID: I20070105000082 |
| Provider Name | Sarah A Kooienga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457456212 PECOS PAC ID: 6103922893 Enrollment ID: I20070425000624 |
| Provider Name | Leslie R Pelinka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275643645 PECOS PAC ID: 3476523432 Enrollment ID: I20070621000325 |
| Provider Name | Charlotte A Clausen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548338841 PECOS PAC ID: 7810953841 Enrollment ID: I20070709000494 |
| Provider Name | Charlotte Anne Ransom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255368205 PECOS PAC ID: 9537160619 Enrollment ID: I20070822000410 |
| Provider Name | Alec I Fedorov |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467401554 PECOS PAC ID: 1153415153 Enrollment ID: I20070921000294 |
| Provider Name | Sarah L Coleman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427097187 PECOS PAC ID: 1850486713 Enrollment ID: I20071008000070 |
| Provider Name | William A Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043259716 PECOS PAC ID: 6709784986 Enrollment ID: I20071008000122 |
| Provider Name | Gary D Halvorson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518906247 PECOS PAC ID: 3678471851 Enrollment ID: I20071009000166 |
| Provider Name | Christopher C Hammond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588679039 PECOS PAC ID: 5991785552 Enrollment ID: I20071211000714 |
| Provider Name | Todd C Tornay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497859136 PECOS PAC ID: 5698845378 Enrollment ID: I20080606000598 |
| Provider Name | Rebecca L Palmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568676583 PECOS PAC ID: 3072685981 Enrollment ID: I20080710000093 |
| Provider Name | Jeffrey Penikas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063447043 PECOS PAC ID: 2365459062 Enrollment ID: I20080904000383 |
| Provider Name | Rodney Warner Schaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821032350 PECOS PAC ID: 2567538853 Enrollment ID: I20080910000689 |
| Provider Name | William Frank Foster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225048325 PECOS PAC ID: 4486547726 Enrollment ID: I20080922000402 |
| Provider Name | Keith Douglas Balderston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871525337 PECOS PAC ID: 0143398982 Enrollment ID: I20081007000659 |
| Provider Name | Suzanne T Temple |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932179546 PECOS PAC ID: 2668536491 Enrollment ID: I20090122000697 |
| Provider Name | Grace Hercl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376640011 PECOS PAC ID: 1850397506 Enrollment ID: I20090423000349 |
| Provider Name | Robert K Pelz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235106386 PECOS PAC ID: 8729138664 Enrollment ID: I20090615000349 |
| Provider Name | Margaret R Pattison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346455524 PECOS PAC ID: 8729138540 Enrollment ID: I20090616000505 |
| Provider Name | Jeffrey R Salerno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235306051 PECOS PAC ID: 7517018252 Enrollment ID: I20090619000384 |
| Provider Name | Michele Garcia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952503484 PECOS PAC ID: 5294899449 Enrollment ID: I20090902000204 |
| Provider Name | Patrick G Tandingan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1992859623 PECOS PAC ID: 5193871689 Enrollment ID: I20090924000664 |
| Provider Name | Kialing P Perez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952501744 PECOS PAC ID: 0446396170 Enrollment ID: I20091008000679 |
| Provider Name | Anthony L Dodson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992753297 PECOS PAC ID: 9032250824 Enrollment ID: I20091230000298 |
| Provider Name | Matthew J Danigelis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407880974 PECOS PAC ID: 5496896821 Enrollment ID: I20100107000651 |
| Provider Name | Brant L Cooper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124090865 PECOS PAC ID: 4688700909 Enrollment ID: I20100325000945 |
| Provider Name | Kimberly A Bock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821060591 PECOS PAC ID: 4385770650 Enrollment ID: I20100326000259 |
| Provider Name | Aaron K Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013199108 PECOS PAC ID: 7517099336 Enrollment ID: I20100907000114 |
| Provider Name | Audrey C Shank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912201062 PECOS PAC ID: 7618158692 Enrollment ID: I20110223001146 |
| Provider Name | Serena S Black |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508007675 PECOS PAC ID: 2466620042 Enrollment ID: I20110726000687 |
| Provider Name | Erin M Wray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881857357 PECOS PAC ID: 1052580545 Enrollment ID: I20110818000401 |
| Provider Name | Robert J Callahan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235392366 PECOS PAC ID: 8820268360 Enrollment ID: I20110819000174 |
| Provider Name | Mallik N Tella |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649380395 PECOS PAC ID: 1153591706 Enrollment ID: I20110908002357 |
| Provider Name | Stephen K Riffenburgh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164581161 PECOS PAC ID: 9335316884 Enrollment ID: I20120124000489 |
| Provider Name | Mohamad Abdel Amir Sabbah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144551128 PECOS PAC ID: 8527222058 Enrollment ID: I20120614000056 |
| Provider Name | Brenda M Ormesher |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922267384 PECOS PAC ID: 3577719574 Enrollment ID: I20120807000575 |
| Provider Name | Leslie E Burwell Mcdowell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386886083 PECOS PAC ID: 8820245186 Enrollment ID: I20120822000304 |
| Provider Name | Colette A Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720241458 PECOS PAC ID: 0345419644 Enrollment ID: I20120910000060 |
| Provider Name | Edgar Arturo Salazar Quiros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386892263 PECOS PAC ID: 1355591777 Enrollment ID: I20121022000075 |
| Provider Name | Keely A Petersen-snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902092547 PECOS PAC ID: 6406009315 Enrollment ID: I20121228000473 |
| Provider Name | Daniel Edward Mcgee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639276413 PECOS PAC ID: 7911905336 Enrollment ID: I20130709000839 |
| Provider Name | Jordan Marie Raymer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003071580 PECOS PAC ID: 8022251222 Enrollment ID: I20130906000262 |
| Provider Name | Daniel Thrasher Horrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730341934 PECOS PAC ID: 1759537400 Enrollment ID: I20131111000024 |
| Provider Name | Saman A Selahi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174750335 PECOS PAC ID: 8224288295 Enrollment ID: I20140207001062 |
| Provider Name | Gianina Patrice Best |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447578844 PECOS PAC ID: 6406094473 Enrollment ID: I20140410000624 |
| Provider Name | Leita Marie Dzubay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871566000 PECOS PAC ID: 1052535036 Enrollment ID: I20140612002201 |
| Provider Name | Dallas D Regan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053323170 PECOS PAC ID: 0648276055 Enrollment ID: I20140811001909 |
| Provider Name | Sushanth Nayak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710273958 PECOS PAC ID: 0648412627 Enrollment ID: I20140820002891 |
| Provider Name | Adam S Holbrook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639458136 PECOS PAC ID: 0749400703 Enrollment ID: I20140925002363 |
| Provider Name | Mary Jo A Laniewski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205918109 PECOS PAC ID: 9638112824 Enrollment ID: I20141103002406 |
| Provider Name | Christine Huang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457514903 PECOS PAC ID: 7416112420 Enrollment ID: I20150417001893 |
| Provider Name | Dustin J Degman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982617015 PECOS PAC ID: 2567483480 Enrollment ID: I20150528000754 |
| Provider Name | Luther S Hemphill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508101569 PECOS PAC ID: 3971756123 Enrollment ID: I20150624003301 |
| Provider Name | Marques S Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265752166 PECOS PAC ID: 6608002365 Enrollment ID: I20150716002940 |
| Provider Name | Bianca J Jacobs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760745848 PECOS PAC ID: 6608180468 Enrollment ID: I20150806012370 |
| Provider Name | Linda Sue Christensen Deacon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417967084 PECOS PAC ID: 6305039769 Enrollment ID: I20151006003154 |
| Provider Name | Aaron M Hougham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144513797 PECOS PAC ID: 3577781574 Enrollment ID: I20151013000909 |
| Provider Name | John M Malleis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144511643 PECOS PAC ID: 7315183910 Enrollment ID: I20151223000525 |
| Provider Name | Alice So |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407968431 PECOS PAC ID: 0345345781 Enrollment ID: I20160201001308 |
| Provider Name | Marta E Hantke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508094442 PECOS PAC ID: 7012155385 Enrollment ID: I20160527001463 |
| Provider Name | Aprill P Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770938912 PECOS PAC ID: 7618260209 Enrollment ID: I20160719002274 |
| Provider Name | Jeremy T Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073957148 PECOS PAC ID: 7416259452 Enrollment ID: I20160803000849 |
| Provider Name | Grant Md Mcclune |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083656243 PECOS PAC ID: 7416910971 Enrollment ID: I20160815002766 |
| Provider Name | Heather Posegate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790138261 PECOS PAC ID: 9537455332 Enrollment ID: I20160902001061 |
| Provider Name | Paul G Bouressa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366414047 PECOS PAC ID: 9032498266 Enrollment ID: I20161110002470 |
| Provider Name | Timothy V Friedman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629414412 PECOS PAC ID: 0042451916 Enrollment ID: I20170116000649 |
| Provider Name | Nora B Kirschner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174577597 PECOS PAC ID: 6002847035 Enrollment ID: I20170705003273 |
| Provider Name | Miranda D Lanning |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609219989 PECOS PAC ID: 6406126804 Enrollment ID: I20170718001530 |
| Provider Name | Brian Douglas Oakes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740737725 PECOS PAC ID: 6103105424 Enrollment ID: I20170804001959 |
| Provider Name | Yvonne M Sculley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013989474 PECOS PAC ID: 7911120779 Enrollment ID: I20170815001458 |
| Provider Name | Heather L Mcarthur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821345463 PECOS PAC ID: 0840594354 Enrollment ID: I20170828002146 |
| Provider Name | Katherine F Ready |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609139062 PECOS PAC ID: 8527289305 Enrollment ID: I20171003005245 |
| Provider Name | Beth Ellen Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184146417 PECOS PAC ID: 1557628377 Enrollment ID: I20171204002847 |
| Provider Name | Nathan A Garton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154764751 PECOS PAC ID: 8820384571 Enrollment ID: I20171221002699 |
| Provider Name | Mark Schuchman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467517300 PECOS PAC ID: 2961683487 Enrollment ID: I20180531002299 |
| Provider Name | Maura J Frith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124429691 PECOS PAC ID: 2961779038 Enrollment ID: I20180621001763 |
| Provider Name | Chen-wen C Heh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467449629 PECOS PAC ID: 6507885670 Enrollment ID: I20180721000132 |
| Provider Name | Thomas A Caton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346532108 PECOS PAC ID: 3577781673 Enrollment ID: I20180816001136 |
| Provider Name | Clark O Parrish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891791232 PECOS PAC ID: 3971672262 Enrollment ID: I20190425000637 |
| Provider Name | Ossama Al Masalmeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851654776 PECOS PAC ID: 0648571182 Enrollment ID: I20190620000506 |
| Provider Name | Patrick G Hudson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831573906 PECOS PAC ID: 7315248317 Enrollment ID: I20190729001436 |
| 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 | Rachel L Zubko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578737342 PECOS PAC ID: 7012189889 Enrollment ID: I20190909003266 |
| Provider Name | Honora R Considine-cortelyou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821351909 PECOS PAC ID: 2961722814 Enrollment ID: I20191115002114 |
| Provider Name | Richard J Veerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568823482 PECOS PAC ID: 6608169586 Enrollment ID: I20191231001006 |
| Provider Name | Carla Sue Rosenblum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376616151 PECOS PAC ID: 3274636477 Enrollment ID: I20200417003001 |
| Provider Name | Inga Giske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912471228 PECOS PAC ID: 1153752621 Enrollment ID: I20200518000683 |
| Provider Name | Elizabeth M Callan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063775732 PECOS PAC ID: 8921325671 Enrollment ID: I20200727003707 |
| Provider Name | Cory J Gibbens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023633831 PECOS PAC ID: 0840610473 Enrollment ID: I20201020000900 |
| Provider Name | Brady H Sibbett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700240561 PECOS PAC ID: 5395039879 Enrollment ID: I20201119001712 |
| Provider Name | Dianna R Gibson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194099143 PECOS PAC ID: 6406017821 Enrollment ID: I20201119003265 |
| Provider Name | Brian J Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336461813 PECOS PAC ID: 3072644228 Enrollment ID: I20210524000565 |
| Provider Name | Jonas I Pologe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366806382 PECOS PAC ID: 8426394040 Enrollment ID: I20210721003296 |
| Provider Name | Arissa R Walberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891185286 PECOS PAC ID: 2062709660 Enrollment ID: I20210723003226 |
| Provider Name | Annaleigh Boggess |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164855730 PECOS PAC ID: 6800167594 Enrollment ID: I20210726002935 |
| Provider Name | Sushan Yang Sweeney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851788921 PECOS PAC ID: 6204139736 Enrollment ID: I20210809001528 |
| Provider Name | Maura R Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720407364 PECOS PAC ID: 8729206529 Enrollment ID: I20210813000754 |
| Provider Name | Tanya A Bucierka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629567995 PECOS PAC ID: 2062765928 Enrollment ID: I20211012001310 |
| Provider Name | Kerry Lee Shannon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013211317 PECOS PAC ID: 2961770276 Enrollment ID: I20211018002438 |
| Provider Name | Joel Valencia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538695788 PECOS PAC ID: 1254682685 Enrollment ID: I20211129002300 |
| Provider Name | Jorge Francisco Ganem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306075395 PECOS PAC ID: 4880851237 Enrollment ID: I20211130002277 |
| Provider Name | Sara Covey Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477161453 PECOS PAC ID: 9638563620 Enrollment ID: I20220309000788 |
| Provider Name | Jon W Ahlstrom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437146065 PECOS PAC ID: 9537067103 Enrollment ID: I20220412000739 |
| Provider Name | Nicholas D Crall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316262645 PECOS PAC ID: 3274761333 Enrollment ID: I20220421001341 |
| Provider Name | Julie A Tenbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164417606 PECOS PAC ID: 6709876279 Enrollment ID: I20220425002464 |
| Provider Name | Tricia Maloney |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528728169 PECOS PAC ID: 0244618312 Enrollment ID: I20220601001514 |
| Provider Name | Francis Hacker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770923591 PECOS PAC ID: 9931405032 Enrollment ID: I20220726000521 |
| Provider Name | Patrick E Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134655855 PECOS PAC ID: 9739561358 Enrollment ID: I20220728003727 |
| Provider Name | Jordan R Chick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477015436 PECOS PAC ID: 7719361617 Enrollment ID: I20220825003960 |
| Provider Name | Sabo Uba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508106873 PECOS PAC ID: 4385889849 Enrollment ID: I20221003000681 |
| Provider Name | Maximilian Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699206193 PECOS PAC ID: 4284961525 Enrollment ID: I20221017001868 |
| Provider Name | John Mckenna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316333610 PECOS PAC ID: 0345530465 Enrollment ID: I20221021000831 |
| Provider Name | Sophie Claire Feller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134514540 PECOS PAC ID: 0446580260 Enrollment ID: I20221114000251 |
| Provider Name | Joan C Tash |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982853412 PECOS PAC ID: 9638237092 Enrollment ID: I20230125003099 |
| Provider Name | Jai Jung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841723541 PECOS PAC ID: 5890101802 Enrollment ID: I20230202001140 |
| Provider Name | Byron Patrick Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538819990 PECOS PAC ID: 2264804244 Enrollment ID: I20230221002612 |
| Provider Name | Sadie Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467167098 PECOS PAC ID: 4183099120 Enrollment ID: I20230405001740 |
| Provider Name | Donald Pierce |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790197523 PECOS PAC ID: 4880811264 Enrollment ID: I20230517002436 |
| Provider Name | Janette Leal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992090708 PECOS PAC ID: 4981844305 Enrollment ID: I20230523002747 |
| Provider Name | Kodjovi D Kodjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20230607001792 |
| Provider Name | Denise J White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477624294 PECOS PAC ID: 4880921667 Enrollment ID: I20230613001382 |
| Provider Name | Rebecca Fieles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356960736 PECOS PAC ID: 8628438181 Enrollment ID: I20230714002451 |
| Provider Name | Deborah A Suggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801529888 PECOS PAC ID: 1355701582 Enrollment ID: I20230719000834 |
| Provider Name | Gary P Gleason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215072665 PECOS PAC ID: 9133108616 Enrollment ID: I20230802001606 |
| Provider Name | John Stanger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598290900 PECOS PAC ID: 1557722501 Enrollment ID: I20230807002918 |
| Provider Name | Jose Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669086641 PECOS PAC ID: 4183043383 Enrollment ID: I20230824002628 |
| Provider Name | Ezra J Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144932997 PECOS PAC ID: 9234592726 Enrollment ID: I20230831001018 |
| Provider Name | Kristina C Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659749471 PECOS PAC ID: 5890003271 Enrollment ID: I20230919003674 |
| Provider Name | Sherifat I Forcey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043861438 PECOS PAC ID: 8022442235 Enrollment ID: I20230925000635 |
| Provider Name | Emily S Downing Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801865738 PECOS PAC ID: 7810981081 Enrollment ID: I20231026004152 |
| Provider Name | Jeffry Jacobs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063477545 PECOS PAC ID: 7113961012 Enrollment ID: I20231222002631 |
| Provider Name | Omar Naji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962630392 PECOS PAC ID: 6901030279 Enrollment ID: I20240129003824 |
| Provider Name | David Da-wei Lin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144270497 PECOS PAC ID: 1456331164 Enrollment ID: I20240226002598 |
| Provider Name | Rodney James Deaton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003934274 PECOS PAC ID: 8921240425 Enrollment ID: I20240401003225 |
| Provider Name | Ryan Hargraves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306983556 PECOS PAC ID: 9234500745 Enrollment ID: I20240412003934 |
| Provider Name | Anas Rihawi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1386083830 PECOS PAC ID: 6103147525 Enrollment ID: I20240506000976 |
| Provider Name | Emiliano Valles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932429453 PECOS PAC ID: 9335456029 Enrollment ID: I20240618003796 |
| Provider Name | Blaine Rourke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184640740 PECOS PAC ID: 8820078058 Enrollment ID: I20240702004391 |
| Provider Name | Daniel Mattox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184203283 PECOS PAC ID: 6608230008 Enrollment ID: I20240711003677 |
| Provider Name | Joshua Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144802109 PECOS PAC ID: 7517402340 Enrollment ID: I20240716003348 |
| Provider Name | Ian Dobbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710337381 PECOS PAC ID: 0143554394 Enrollment ID: I20240823001218 |
| Provider Name | Richard Haycock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326443417 PECOS PAC ID: 1759638919 Enrollment ID: I20240909001118 |
| Provider Name | Yanting Rambow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285207373 PECOS PAC ID: 9537565767 Enrollment ID: I20240909004684 |
| Provider Name | Warren King |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154485753 PECOS PAC ID: 6305911413 Enrollment ID: I20240919000124 |
| Provider Name | Sandra O Kolapo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568834984 PECOS PAC ID: 1052605680 Enrollment ID: I20241213002962 |
| Provider Name | Solange Marcel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679602536 PECOS PAC ID: 9335200153 Enrollment ID: I20250217003009 |
| Provider Name | Heather Sardella |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417224916 PECOS PAC ID: 0143741363 Enrollment ID: I20250304003746 |
| Provider Name | Clive Thirkill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023332996 PECOS PAC ID: 6800083809 Enrollment ID: I20250423001072 |
| Provider Name | Erin Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447704044 PECOS PAC ID: 6002356185 Enrollment ID: I20250509000942 |
| Provider Name | Troy Sibbett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881276343 PECOS PAC ID: 6204238934 Enrollment ID: I20250610004064 |
Planned Parenthood Of Southwestern Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4969 Highway 101, Florence, OR 97439 Phone: 541-344-2632 Fax: 541-344-6519 | |
Clinicops Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2970 Highway 101, Florence, OR 97439 Phone: 866-972-0235 Fax: 458-201-3775 | |
Wellspring Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Highway 126 Ste H, Florence, OR 97439 Phone: 541-902-8860 | |
Peacehealth Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 9th St, Florence, OR 97439 Phone: 541-686-7191 Fax: 541-335-2325 | |
Monarch Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2775 Hwy 101, Suite B, Florence, OR 97439 Phone: 541-465-3966 Fax: 541-465-3967 | |
Icco Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4480 Highway 101 Ste G, Florence, OR 97439 Phone: 458-215-2185 |