| Zoom Management | |
|
11958 Sw Garden Pl Tigard OR 97223-8248 | |
| (503) 684-8252 | |
| (866) 859-8195 |
| Full Name | Zoom Management |
|---|---|
| Speciality | General Practice |
| Location | 11958 Sw Garden Pl, Tigard, Oregon |
| Authorized Official Name and Position | Aaron Crane (CFO) |
| Authorized Official Contact | 5036848252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zoom Management Po Box 37659 Belfast ME 04915-1218 Ph: (503) 684-8252 | Zoom Management 11958 Sw Garden Pl Tigard OR 97223-8248 Ph: (503) 684-8252 |
| NPI Number | 1023582178 |
|---|---|
| Provider Enumeration Date | 01/11/2019 |
| Last Update Date | 03/17/2026 |
| Certification Date | 03/17/2026 |
| Medicare PECOS PAC ID | 1759731383 |
|---|---|
| Medicare Enrollment ID | O20240612001355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023582178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Patrick Grimsley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669416723 PECOS PAC ID: 0941286942 Enrollment ID: I20040629001097 |
| Provider Name | Mindy E Glivinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235113366 PECOS PAC ID: 7810916319 Enrollment ID: I20051114001057 |
| Provider Name | Gillian C Rosicky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295789428 PECOS PAC ID: 8628097821 Enrollment ID: I20051116001065 |
| Provider Name | Alicja K Gonzales |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760436372 PECOS PAC ID: 6204857170 Enrollment ID: I20051207001029 |
| Provider Name | Debra K Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811081300 PECOS PAC ID: 1759397029 Enrollment ID: I20060223000203 |
| Provider Name | Kelli J Westcott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760432751 PECOS PAC ID: 9032195797 Enrollment ID: I20060328000152 |
| Provider Name | Jennifer O Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558372151 PECOS PAC ID: 2365440336 Enrollment ID: I20061130000007 |
| Provider Name | Lorelyn Fernweh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225182306 PECOS PAC ID: 0143327973 Enrollment ID: I20070514000063 |
| Provider Name | Kelly Marie King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235327883 PECOS PAC ID: 7416045869 Enrollment ID: I20071119000142 |
| Provider Name | Adam Bradley King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821287608 PECOS PAC ID: 3678663796 Enrollment ID: I20071213000184 |
| Provider Name | Amy S Kaluza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437355229 PECOS PAC ID: 1759470487 Enrollment ID: I20071221000487 |
| Provider Name | Mark Zeitzer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437174307 PECOS PAC ID: 4486683927 Enrollment ID: I20080603000427 |
| Provider Name | Alma Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285897009 PECOS PAC ID: 6103990742 Enrollment ID: I20080731000133 |
| Provider Name | Richard Mccollum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659302289 PECOS PAC ID: 6002810512 Enrollment ID: I20090108000673 |
| Provider Name | Krista a Swaninger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457571101 PECOS PAC ID: 8527158591 Enrollment ID: I20090415000683 |
| Provider Name | Holly B Andreosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164755336 PECOS PAC ID: 5890832281 Enrollment ID: I20091015000667 |
| Provider Name | Katherine J Schoonover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811205248 PECOS PAC ID: 9739357799 Enrollment ID: I20110718000384 |
| Provider Name | Wajma Niazi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619290863 PECOS PAC ID: 9335270081 Enrollment ID: I20120307000431 |
| Provider Name | Tonya Lutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275875791 PECOS PAC ID: 8325286081 Enrollment ID: I20130607000667 |
| Provider Name | Reda T Bassaly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043551930 PECOS PAC ID: 0143461814 Enrollment ID: I20130722000489 |
| Provider Name | Amber Elkind |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336446756 PECOS PAC ID: 3274710108 Enrollment ID: I20130724000220 |
| Provider Name | John T Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881971836 PECOS PAC ID: 2264690858 Enrollment ID: I20131004000466 |
| Provider Name | Susan Corcoran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902863467 PECOS PAC ID: 5698961613 Enrollment ID: I20140210001097 |
| Provider Name | Christian Marchant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598183071 PECOS PAC ID: 1153554704 Enrollment ID: I20140506000406 |
| Provider Name | Matthew P Davey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861789281 PECOS PAC ID: 5799908497 Enrollment ID: I20140528000648 |
| Provider Name | Jessica Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134467368 PECOS PAC ID: 5092953091 Enrollment ID: I20140609002507 |
| Provider Name | Megan Bartley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619389194 PECOS PAC ID: 0547488645 Enrollment ID: I20140903001341 |
| Provider Name | Nora E Swinburne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427320902 PECOS PAC ID: 7113149626 Enrollment ID: I20141118002369 |
| Provider Name | Kendra C Parkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689004053 PECOS PAC ID: 1456676477 Enrollment ID: I20150216001960 |
| Provider Name | Sue a Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366559577 PECOS PAC ID: 2466444534 Enrollment ID: I20150224001100 |
| Provider Name | Joseph B Wills |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750782157 PECOS PAC ID: 0840516035 Enrollment ID: I20150305001793 |
| Provider Name | Nicole a Knigge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609206036 PECOS PAC ID: 3971822024 Enrollment ID: I20150512001540 |
| Provider Name | Abigail Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679998967 PECOS PAC ID: 2062732092 Enrollment ID: I20150514002424 |
| Provider Name | Colin a Storz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871982975 PECOS PAC ID: 9234443409 Enrollment ID: I20150731015595 |
| Provider Name | Michael J Oschwald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740685585 PECOS PAC ID: 8729398789 Enrollment ID: I20151104001347 |
| Provider Name | Eric Dyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316289192 PECOS PAC ID: 4082797444 Enrollment ID: I20151214001327 |
| Provider Name | Tanya Lynn Wayne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386650315 PECOS PAC ID: 4082903646 Enrollment ID: I20160520000963 |
| Provider Name | Julie Ann Seminara |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871861005 PECOS PAC ID: 3476720426 Enrollment ID: I20160523002472 |
| Provider Name | Nathaniel J Collins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023483419 PECOS PAC ID: 5496045262 Enrollment ID: I20160607001284 |
| Provider Name | Sarah G Keating |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679966634 PECOS PAC ID: 9436440658 Enrollment ID: I20160620000720 |
| Provider Name | Lucas J Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376920918 PECOS PAC ID: 4587957899 Enrollment ID: I20160725002413 |
| Provider Name | Erin Steiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043668940 PECOS PAC ID: 7113213497 Enrollment ID: I20160913001398 |
| Provider Name | Maureen C Bailey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841744133 PECOS PAC ID: 7315234929 Enrollment ID: I20160926001770 |
| Provider Name | Anaise H Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447561279 PECOS PAC ID: 8426244138 Enrollment ID: I20161115001277 |
| Provider Name | Riccara E Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891247078 PECOS PAC ID: 8123309119 Enrollment ID: I20170105002100 |
| Provider Name | Johannah J Lutz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285966002 PECOS PAC ID: 8426231481 Enrollment ID: I20170907000854 |
| Provider Name | Alexander R Christy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750733143 PECOS PAC ID: 4082987060 Enrollment ID: I20170913003776 |
| Provider Name | Tina Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023078367 PECOS PAC ID: 9830159953 Enrollment ID: I20171028000424 |
| Provider Name | Amy Theppote |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578980694 PECOS PAC ID: 2062719180 Enrollment ID: I20180102002828 |
| Provider Name | Hui Wa Chan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205345881 PECOS PAC ID: 9436410958 Enrollment ID: I20180226001551 |
| Provider Name | Suzanne Elice Dotson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225551609 PECOS PAC ID: 3072875509 Enrollment ID: I20180322000349 |
| Provider Name | Patrick William Caloz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144713876 PECOS PAC ID: 2668722844 Enrollment ID: I20180910001226 |
| Provider Name | Vicki Lynn Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699759134 PECOS PAC ID: 7517123110 Enrollment ID: I20181030002547 |
| Provider Name | Caroline a Butler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346736907 PECOS PAC ID: 9931444213 Enrollment ID: I20181213002668 |
| Provider Name | Emily R Charlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407330889 PECOS PAC ID: 0941548663 Enrollment ID: I20190205001346 |
| Provider Name | Justine Lisella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740669266 PECOS PAC ID: 2567702269 Enrollment ID: I20190315001000 |
| Provider Name | Tierney Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093272015 PECOS PAC ID: 6406197078 Enrollment ID: I20190408002934 |
| Provider Name | Therease M Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649469164 PECOS PAC ID: 5991048100 Enrollment ID: I20190509002040 |
| Provider Name | Jill Miguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366969925 PECOS PAC ID: 1658614292 Enrollment ID: I20190522000940 |
| Provider Name | Tim I Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760688568 PECOS PAC ID: 6103013255 Enrollment ID: I20190624003786 |
| Provider Name | Lori Helen Sharrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710232137 PECOS PAC ID: 1850541905 Enrollment ID: I20191219003127 |
| Provider Name | Carlos Ramos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447451323 PECOS PAC ID: 6103014535 Enrollment ID: I20200228001068 |
| Provider Name | Kathryn Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720084213 PECOS PAC ID: 1850357104 Enrollment ID: I20200320001843 |
| Provider Name | Karen Smith O'kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427447457 PECOS PAC ID: 4183934987 Enrollment ID: I20200715001944 |
| Provider Name | Pilar Lorena Lopez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942808605 PECOS PAC ID: 1850701079 Enrollment ID: I20201029000986 |
| Provider Name | Lauren F Burke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073006565 PECOS PAC ID: 0244649200 Enrollment ID: I20210504002881 |
| Provider Name | Jacqueline M Devaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790370096 PECOS PAC ID: 4486087103 Enrollment ID: I20210512002897 |
| Provider Name | Stephanie Ann Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205477361 PECOS PAC ID: 2567895501 Enrollment ID: I20210601002342 |
| Provider Name | Nicole Severts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184161754 PECOS PAC ID: 5597047498 Enrollment ID: I20211215000865 |
| Provider Name | Jennifer M Nickell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326645417 PECOS PAC ID: 0840681102 Enrollment ID: I20211221000028 |
| Provider Name | Edmund J Nichter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184897910 PECOS PAC ID: 8426121922 Enrollment ID: I20220127001192 |
| Provider Name | Colten J Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407228620 PECOS PAC ID: 6507145893 Enrollment ID: I20220309002700 |
| Provider Name | Bryhanna Christine Charles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154919561 PECOS PAC ID: 4385037332 Enrollment ID: I20220707003268 |
| Provider Name | Abby M O'keefe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003465220 PECOS PAC ID: 9436583796 Enrollment ID: I20221214000596 |
| Provider Name | James D Costantino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316456924 PECOS PAC ID: 1557616638 Enrollment ID: I20221216002587 |
| Provider Name | Tiffany Choi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245993419 PECOS PAC ID: 1153790878 Enrollment ID: I20221219002992 |
| Provider Name | Elmira Azatovna Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891265914 PECOS PAC ID: 6800228123 Enrollment ID: I20230712002927 |
| Provider Name | Taylor Cervantes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619646387 PECOS PAC ID: 9739534231 Enrollment ID: I20231018000481 |
| Provider Name | Joseph Rainier Van Bindsbergen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073236055 PECOS PAC ID: 0840645313 Enrollment ID: I20231018003374 |
| Provider Name | Amanda Brooke Davalos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710641618 PECOS PAC ID: 5092199869 Enrollment ID: I20231108003006 |
| Provider Name | Musah N Iddrisu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124627054 PECOS PAC ID: 5092163782 Enrollment ID: I20231117002391 |
| Provider Name | Edsel Condez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073978680 PECOS PAC ID: 9436439254 Enrollment ID: I20240116001463 |
| Provider Name | Tiffany Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861990780 PECOS PAC ID: 7113281247 Enrollment ID: I20240205002595 |
| Provider Name | Anamaria Schier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588218929 PECOS PAC ID: 6305271909 Enrollment ID: I20240215004563 |
| Provider Name | Adriana Deligio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700407574 PECOS PAC ID: 3678970746 Enrollment ID: I20240314002854 |
| Provider Name | Anna Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417422031 PECOS PAC ID: 2961746433 Enrollment ID: I20240502001823 |
| Provider Name | Jonathan Michael Wilfrid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760241038 PECOS PAC ID: 1759722721 Enrollment ID: I20240509000033 |
| Provider Name | Noor Z Alani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174374649 PECOS PAC ID: 9537501168 Enrollment ID: I20240528001527 |
| Provider Name | Tim Burner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861572844 PECOS PAC ID: 4284610031 Enrollment ID: I20240614002471 |
| Provider Name | Micah Kiehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871943159 PECOS PAC ID: 6507219060 Enrollment ID: I20240614002598 |
| Provider Name | Anna Marie Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235696154 PECOS PAC ID: 2668917329 Enrollment ID: I20240717003366 |
| Provider Name | Shannon Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679707293 PECOS PAC ID: 9537290978 Enrollment ID: I20240724000848 |
| Provider Name | Ryan Cordell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104334176 PECOS PAC ID: 0345509444 Enrollment ID: I20240725001772 |
| Provider Name | Julianne Brower |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891230959 PECOS PAC ID: 1658653902 Enrollment ID: I20240730000680 |
| Provider Name | Kimberly Fordney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235578626 PECOS PAC ID: 5193262806 Enrollment ID: I20240730004548 |
| Provider Name | Dana J Fisher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053360115 PECOS PAC ID: 1456326149 Enrollment ID: I20240801004164 |
| Provider Name | Jamie Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740696160 PECOS PAC ID: 0042536153 Enrollment ID: I20240802000906 |
| Provider Name | Michelle a Matyseck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093115941 PECOS PAC ID: 2466743885 Enrollment ID: I20240805002847 |
| Provider Name | Sandra Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962930636 PECOS PAC ID: 7214207364 Enrollment ID: I20240805003999 |
| Provider Name | Denise L Tobe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235503277 PECOS PAC ID: 9436450376 Enrollment ID: I20240812002339 |
| Provider Name | Rachel K Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184286031 PECOS PAC ID: 1052649233 Enrollment ID: I20240812002627 |
| Provider Name | Caitlin Berrazueta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538790308 PECOS PAC ID: 7911334453 Enrollment ID: I20240813003364 |
| Provider Name | Julie a Passon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780730119 PECOS PAC ID: 4082663281 Enrollment ID: I20240814000444 |
| Provider Name | Christopher Palacios |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760936363 PECOS PAC ID: 3072894377 Enrollment ID: I20240814003719 |
| Provider Name | Melissa Small |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730490590 PECOS PAC ID: 7214116086 Enrollment ID: I20240815001761 |
| Provider Name | Melissa Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255104717 PECOS PAC ID: 4183162621 Enrollment ID: I20240815002587 |
| Provider Name | Michaela Etherton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619586153 PECOS PAC ID: 8729479449 Enrollment ID: I20240815003808 |
| Provider Name | Kristina Stover |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568761211 PECOS PAC ID: 8325200504 Enrollment ID: I20240816001538 |
| Provider Name | Crystal a Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760084651 PECOS PAC ID: 9537559406 Enrollment ID: I20240816001916 |
| Provider Name | Erin Hagen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285300475 PECOS PAC ID: 2163814724 Enrollment ID: I20240817000633 |
| Provider Name | Janet Dichter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417384082 PECOS PAC ID: 4385906403 Enrollment ID: I20240818000106 |
| Provider Name | Kathleen Klunk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134585268 PECOS PAC ID: 9335438290 Enrollment ID: I20240823002172 |
| Provider Name | Anne Koster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790739951 PECOS PAC ID: 4981670627 Enrollment ID: I20240826003152 |
| Provider Name | Lauren Small |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013229350 PECOS PAC ID: 0547454415 Enrollment ID: I20240827002369 |
| Provider Name | Mark Tyrrell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124416946 PECOS PAC ID: 3375082936 Enrollment ID: I20240828004994 |
| Provider Name | Nina Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013747633 PECOS PAC ID: 9133668312 Enrollment ID: I20240902000461 |
| Provider Name | Hanna Allwein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073963013 PECOS PAC ID: 1456639269 Enrollment ID: I20240907000436 |
| Provider Name | Katherine Mcelhaney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134398407 PECOS PAC ID: 8527128164 Enrollment ID: I20240909000602 |
| Provider Name | Caitlin Dorr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043766488 PECOS PAC ID: 5597040659 Enrollment ID: I20240909002122 |
| Provider Name | Martha NP Demesew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841078797 PECOS PAC ID: 5193265874 Enrollment ID: I20240909002540 |
| Provider Name | Whitney Porter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780038091 PECOS PAC ID: 9830471895 Enrollment ID: I20240910003199 |
| Provider Name | Christine Trubic Huntley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1669501276 PECOS PAC ID: 7911076112 Enrollment ID: I20240911004534 |
| Provider Name | Valerie Oquendo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912270497 PECOS PAC ID: 9133379100 Enrollment ID: I20240916003245 |
| Provider Name | Patrick Tarrance Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992418727 PECOS PAC ID: 3971976770 Enrollment ID: I20240918000577 |
| Provider Name | Christie Kratovil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306155270 PECOS PAC ID: 4688857840 Enrollment ID: I20241025003683 |
| Provider Name | Daniel Buffington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801022389 PECOS PAC ID: 9931365335 Enrollment ID: I20241125003798 |
| Provider Name | Emily T Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629466842 PECOS PAC ID: 6608177522 Enrollment ID: I20241126000846 |
| Provider Name | Michelle Shirazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396554572 PECOS PAC ID: 1456880541 Enrollment ID: I20250117001239 |
| Provider Name | Ali Sanei Moghaddam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114502564 PECOS PAC ID: 1052840774 Enrollment ID: I20250213002747 |
| Provider Name | Monica Mayhill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902858061 PECOS PAC ID: 1254336472 Enrollment ID: I20250219000642 |
| Provider Name | Ann M Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477763019 PECOS PAC ID: 2365410255 Enrollment ID: I20250308000001 |
| Provider Name | Patricia Horvath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124533831 PECOS PAC ID: 6103185418 Enrollment ID: I20250325000616 |
| Provider Name | Ginger Lynn Gakunga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760790034 PECOS PAC ID: 1355503772 Enrollment ID: I20250325002995 |
| Provider Name | Sydney Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568170785 PECOS PAC ID: 4880064351 Enrollment ID: I20250410003145 |
| Provider Name | Adam Leferovich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245818228 PECOS PAC ID: 1759780323 Enrollment ID: I20250416000175 |
| Provider Name | Christine Ackerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659748747 PECOS PAC ID: 5092023994 Enrollment ID: I20250417001047 |
| Provider Name | Cindy Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518932599 PECOS PAC ID: 3870558893 Enrollment ID: I20250418001990 |
| Provider Name | Sean Plank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528589777 PECOS PAC ID: 8527326198 Enrollment ID: I20250509002121 |
| Provider Name | Shirley Ala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619909017 PECOS PAC ID: 3173596012 Enrollment ID: I20250519003403 |
| Provider Name | Maria Nazar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407322878 PECOS PAC ID: 2668806142 Enrollment ID: I20250603002902 |
| Provider Name | Jean T Higgins Peretto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821196387 PECOS PAC ID: 5890771885 Enrollment ID: I20250613000797 |
| Provider Name | Susan Laws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275246043 PECOS PAC ID: 4587037494 Enrollment ID: I20250613002279 |
| Provider Name | Laconda Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629619770 PECOS PAC ID: 4284020694 Enrollment ID: I20250710001269 |
| Provider Name | Joanne Teik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851363345 PECOS PAC ID: 8123047941 Enrollment ID: I20250717003718 |
| Provider Name | Jordan Forbush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821680166 PECOS PAC ID: 5496154684 Enrollment ID: I20250725001506 |
| Provider Name | Rachelle Ann Vanaken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134745557 PECOS PAC ID: 2163845413 Enrollment ID: I20250725003210 |
| Provider Name | Felix Achille Gouanette Tankeu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437799871 PECOS PAC ID: 2860865045 Enrollment ID: I20250926002969 |
| Provider Name | Patricia Rose Kendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679693204 PECOS PAC ID: 5698874899 Enrollment ID: I20251209002617 |
| Provider Name | Suzanne Lorraine August |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275535221 PECOS PAC ID: 0547747842 Enrollment ID: I20260116001809 |
| Provider Name | Hunter Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932588241 PECOS PAC ID: 6002124542 Enrollment ID: I20260116002619 |
| Provider Name | Catherine Cosgrave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578102471 PECOS PAC ID: 1355716424 Enrollment ID: I20260218000093 |
| Provider Name | Melissa Loomis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558663609 PECOS PAC ID: 2668660556 Enrollment ID: I20260218000230 |
| Provider Name | Jordan Lauby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659147544 PECOS PAC ID: 1355788746 Enrollment ID: I20260218001337 |
| Provider Name | Gloria Wu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831694074 PECOS PAC ID: 8426447244 Enrollment ID: I20260219003335 |
Tigard Holistic Health Clinic, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11930 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-639-1712 |
Recovery Works NW LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12540 Sw Main St Ste 202, Tigard, OR 97223 Phone: 503-906-9995 Fax: 503-597-7000 |
Fred Meyer Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11565 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-293-7085 |
Providence Medical Group Scholls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223 Phone: 503-216-9200 Fax: 503-216-9220 |
Virginia Garcia Memorial Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9000 Sw Durham Rd, Bldg 710, Tigard, OR 97224 Phone: 503-431-5775 Fax: 503-431-5776 |
Best Practice Acupuncture Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9735 Sw Shady Ln Ste 306, Tigard, OR 97223 Phone: 503-891-2352 |