| Southwest Family Physicians | |
|
11900 Sw Greenburg Rd Tigard OR 97223 | |
| (503) 620-5556 | |
| (503) 624-0118 |
| Full Name | Southwest Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 11900 Sw Greenburg Rd, Tigard, Oregon |
| Authorized Official Name and Position | Cynthia Gulick (OWNER) |
| Authorized Official Contact | 5036205556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Family Physicians 11900 Sw Greenburg Rd Tigard OR 97223-6453 Ph: (503) 620-5556 | Southwest Family Physicians 11900 Sw Greenburg Rd Tigard OR 97223 Ph: (503) 620-5556 |
| NPI Number | 1467675009 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 2860487279 |
|---|---|
| Medicare Enrollment ID | O20040415001287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467675009 | NPI | - | NPPES |
| DO15813 | Other | OR | DR. GULICK LICENSE |
| 1780756494 | Other | OR | DR. GULICK NPI NUMBER |
| Provider Name | Cynthia S Gulick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780756494 PECOS PAC ID: 4183514698 Enrollment ID: I20040318000425 |
| Provider Name | Jill R Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417026659 PECOS PAC ID: 2769470103 Enrollment ID: I20040504001231 |
| Provider Name | Andrea I Karl |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902915069 PECOS PAC ID: 8729098934 Enrollment ID: I20060503000239 |
| Provider Name | Renee Michelle Beninger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457455917 PECOS PAC ID: 7012014590 Enrollment ID: I20070517000319 |
| Provider Name | Michele N Adamcak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114097227 PECOS PAC ID: 2769565076 Enrollment ID: I20080211000114 |
| Provider Name | Erin Dustrude-lampert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194981852 PECOS PAC ID: 4880769546 Enrollment ID: I20080815000180 |
| Provider Name | Warren I Okuns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134385461 PECOS PAC ID: 5698949717 Enrollment ID: I20111129000298 |
| Provider Name | Nancy A Macy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689739328 PECOS PAC ID: 0345497939 Enrollment ID: I20120905000168 |
| Provider Name | Leasa J Lowy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861456139 PECOS PAC ID: 7416985940 Enrollment ID: I20150512002729 |
| Provider Name | Anne Michelle Valente |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134481898 PECOS PAC ID: 6709023419 Enrollment ID: I20151201001716 |
| Provider Name | Shoshana Beth Farber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205286689 PECOS PAC ID: 9537425178 Enrollment ID: I20171114002537 |
| Provider Name | Molly Strattan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104903731 PECOS PAC ID: 3779834577 Enrollment ID: I20180919003669 |
| Provider Name | Molly Strattan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104903731 PECOS PAC ID: 3779834577 Enrollment ID: I20181012000911 |
| Provider Name | Renee Michelle Beninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457455917 PECOS PAC ID: 7012014590 Enrollment ID: I20181105001695 |
| Provider Name | Heather L Jorgensen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548787708 PECOS PAC ID: 7517203797 Enrollment ID: I20190109000130 |
| Provider Name | Moses S Ijaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558325902 PECOS PAC ID: 8820989635 Enrollment ID: I20200317002804 |
| Provider Name | Juan Carlos Lopez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861604159 PECOS PAC ID: 9739195181 Enrollment ID: I20200513000013 |
| Provider Name | Karen Jo Baltz Gibbs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598245490 PECOS PAC ID: 5991122608 Enrollment ID: I20200826002281 |
| Provider Name | Benjamin S Liu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447608781 PECOS PAC ID: 0143644716 Enrollment ID: I20210610002649 |
| Provider Name | Renee Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841720166 PECOS PAC ID: 9032483458 Enrollment ID: I20220309002380 |
| Provider Name | Patrick Ivar Erickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588105415 PECOS PAC ID: 4082944079 Enrollment ID: I20220902002234 |
| Provider Name | Binie Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417936881 PECOS PAC ID: 9234161639 Enrollment ID: I20220921001415 |
| Provider Name | Stephen Smith Babson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699286153 PECOS PAC ID: 7214337419 Enrollment ID: I20221213000379 |
| Provider Name | Josephine Gramarosso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669916672 PECOS PAC ID: 0749652188 Enrollment ID: I20230210001022 |
| Provider Name | Victoria E Guinn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578276762 PECOS PAC ID: 3779955828 Enrollment ID: I20230217002521 |
| Provider Name | Jennifer Ann Nieves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285349670 PECOS PAC ID: 3779956743 Enrollment ID: I20230222003084 |
| Provider Name | Sandra J Hilton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053386680 PECOS PAC ID: 9537197140 Enrollment ID: I20230608000390 |
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