| Uptown Providers Pc | |
|
17437 Boones Ferry Rd Ste 100 Lake Oswego OR 97035-6201 | |
| (503) 305-6262 | |
| (503) 305-6078 |
| Full Name | Uptown Providers Pc |
|---|---|
| Speciality | General Practice |
| Location | 17437 Boones Ferry Rd, Lake Oswego, Oregon |
| Authorized Official Name and Position | Guru Sankar (CENTER DIRECTOR) |
| Authorized Official Contact | 5037440399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uptown Providers Pc 17437 Boones Ferry Rd Ste 100 Lake Oswego OR 97035-6201 Ph: (503) 305-6262 | Uptown Providers Pc 17437 Boones Ferry Rd Ste 100 Lake Oswego OR 97035-6201 Ph: (503) 305-6262 |
| NPI Number | 1316249394 |
|---|---|
| Provider Enumeration Date | 11/24/2010 |
| Last Update Date | 01/04/2021 |
| Medicare PECOS PAC ID | 8527240845 |
|---|---|
| Medicare Enrollment ID | O20110308000790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316249394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Kristen Flemmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972522019 PECOS PAC ID: 5991791220 Enrollment ID: I20040422000780 |
| Provider Name | Vandana H Rana |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104952415 PECOS PAC ID: 0941219505 Enrollment ID: I20060411000263 |
| Provider Name | Jean-elie Moreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821051509 PECOS PAC ID: 0345331450 Enrollment ID: I20070803000251 |
| Provider Name | Kenneth P Melvin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013971837 PECOS PAC ID: 9830273986 Enrollment ID: I20080227000668 |
| Provider Name | Angela I Uba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205901154 PECOS PAC ID: 8527153980 Enrollment ID: I20110120000515 |
| Provider Name | William R Princen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871664037 PECOS PAC ID: 6800055757 Enrollment ID: I20120312000845 |
| Provider Name | Megan Laurel Rambob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225469521 PECOS PAC ID: 9335372218 Enrollment ID: I20140429002251 |
| Provider Name | Michael D Metzler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265494108 PECOS PAC ID: 9931108172 Enrollment ID: I20140919000002 |
| Provider Name | Sue A Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366559577 PECOS PAC ID: 2466444534 Enrollment ID: I20150224001100 |
| Provider Name | Rebecca D Dorsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770984841 PECOS PAC ID: 8325356611 Enrollment ID: I20151006003184 |
| Provider Name | Sushil M Sethi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255318275 PECOS PAC ID: 3870686249 Enrollment ID: I20170824000527 |
| Provider Name | John C Mills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114053089 PECOS PAC ID: 1355368606 Enrollment ID: I20180223002409 |
| Provider Name | Gary W Vanwinkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427109123 PECOS PAC ID: 1052399037 Enrollment ID: I20180514002670 |
| Provider Name | J. Salvador De La Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003174285 PECOS PAC ID: 2961649595 Enrollment ID: I20190402000609 |
| Provider Name | Laura Leigh Cossette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952859456 PECOS PAC ID: 5799063855 Enrollment ID: I20190910003541 |
| Provider Name | Christine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457395154 PECOS PAC ID: 3577893502 Enrollment ID: I20190918000510 |
| Provider Name | Berhanu Bedassa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093260622 PECOS PAC ID: 8527346543 Enrollment ID: I20191203000418 |
| Provider Name | Darren B Lyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427019058 PECOS PAC ID: 6901994425 Enrollment ID: I20200311001394 |
| Provider Name | Kelsey Wolfe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386175396 PECOS PAC ID: 8729403167 Enrollment ID: I20200803001527 |
Kristina E Harp M.d P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17704 Jean Way, Suite 105, Lake Oswego, OR 97035 Phone: 503-675-6776 Fax: 503-675-2572 | |
Providence Health & Services Oregon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4823 Meadows Rd, Lake Oswego, OR 97035 Phone: 503-216-1580 | |
Kimberly J. Schleef D.o., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Carman Dr, Lake Oswego, OR 97035 Phone: 503-635-6555 Fax: 503-635-6557 | |
Dr Pepel Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15880 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-232-3302 Fax: 503-200-2895 | |
Deni R Buss Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14511 Westlake Dr, Suite 100, Lake Oswego, OR 97035 Phone: 503-449-6939 Fax: 503-598-3980 | |
Lake Oswego Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4035 Mercantile Dr, Suite 104, Lake Oswego, OR 97035 Phone: 503-635-1350 Fax: 503-635-8470 | |
Kleiman Healthcare Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 N State St Ste 136, Lake Oswego, OR 97034 Phone: 310-951-3450 |