| Virginia Garcia Memorial Health Center | |
|
1151 N Adair St Cornelius OR 97113-8900 | |
| (503) 359-5564 | |
| Not Available |
| Full Name | Virginia Garcia Memorial Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1151 N Adair St, Cornelius, Oregon |
| Authorized Official Name and Position | Annmarie Dennis (CORPORATE COMPLIANCE OFFICER) |
| Authorized Official Contact | 5032141652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Garcia Memorial Health Center Po Box 6149 Aloha OR 97007-0149 Ph: () - | Virginia Garcia Memorial Health Center 1151 N Adair St Cornelius OR 97113-8900 Ph: (503) 359-5564 |
| NPI Number | 1679528012 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 08/19/2023 |
| Medicare PECOS PAC ID | 7113823881 |
|---|---|
| Medicare Enrollment ID | O20031211000992 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679528012 | NPI | - | NPPES |
| 023197 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Eleanor C Sims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578519070 PECOS PAC ID: 0446146765 Enrollment ID: I20040224001031 |
| Provider Name | Keith A White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407959422 PECOS PAC ID: 6709774961 Enrollment ID: I20040309000491 |
| Provider Name | Geoffrey H Carden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669453460 PECOS PAC ID: 9234029919 Enrollment ID: I20040317000381 |
| Provider Name | Linda A Wheeler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346258878 PECOS PAC ID: 1658361621 Enrollment ID: I20040513000512 |
| Provider Name | Susan A Kass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811936362 PECOS PAC ID: 9335122860 Enrollment ID: I20040608000116 |
| Provider Name | Susan J Bisgyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265487557 PECOS PAC ID: 5991770638 Enrollment ID: I20040827000038 |
| Provider Name | Stephanie H Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548265820 PECOS PAC ID: 4981670239 Enrollment ID: I20040908000519 |
| Provider Name | Marion C Hull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295775278 PECOS PAC ID: 8224007927 Enrollment ID: I20040929000750 |
| Provider Name | Alice D Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063593309 PECOS PAC ID: 8325001373 Enrollment ID: I20041110000523 |
| Provider Name | Laura R Byerly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053367540 PECOS PAC ID: 4183662562 Enrollment ID: I20050418001008 |
| Provider Name | Lyn C Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518906148 PECOS PAC ID: 5496793440 Enrollment ID: I20050420000502 |
| Provider Name | Sunisa Chanyaputhipong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396791885 PECOS PAC ID: 9931149077 Enrollment ID: I20050507000065 |
| Provider Name | Gregory H Holles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750320206 PECOS PAC ID: 4688560287 Enrollment ID: I20051215000015 |
| Provider Name | Suniti Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265450951 PECOS PAC ID: 5294632949 Enrollment ID: I20051215000038 |
| Provider Name | Ingeborg Hindel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487600987 PECOS PAC ID: 3971526450 Enrollment ID: I20060111000153 |
| Provider Name | Timothy Van Ert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568574549 PECOS PAC ID: 8224043781 Enrollment ID: I20060220000632 |
| Provider Name | Tanya J Kapka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326137860 PECOS PAC ID: 2668433525 Enrollment ID: I20060502000342 |
| Provider Name | Michael Joseph Schiferl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497725691 PECOS PAC ID: 7416952726 Enrollment ID: I20060920000204 |
| Provider Name | Kendrick Mk Lau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164552626 PECOS PAC ID: 3173629888 Enrollment ID: I20070426000016 |
| Provider Name | Maura Ann Oleary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598848343 PECOS PAC ID: 0345256962 Enrollment ID: I20080318000217 |
| Provider Name | Monica Arce |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376723270 PECOS PAC ID: 8921181363 Enrollment ID: I20080408000930 |
| Provider Name | Dahra Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275753121 PECOS PAC ID: 3274601737 Enrollment ID: I20081010000173 |
| Provider Name | Stephanie Mcandrew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508879677 PECOS PAC ID: 6204830706 Enrollment ID: I20090204000024 |
| Provider Name | Margo J Pipher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518102615 PECOS PAC ID: 0345397626 Enrollment ID: I20090403000089 |
| Provider Name | John P Guerreiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518040948 PECOS PAC ID: 1153470281 Enrollment ID: I20090520000545 |
| Provider Name | Virginia C Leslie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336119288 PECOS PAC ID: 4789657487 Enrollment ID: I20090706000458 |
| Provider Name | Omar Reda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932328945 PECOS PAC ID: 6002954153 Enrollment ID: I20091110000285 |
| Provider Name | Sharon F Duggan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467789453 PECOS PAC ID: 7416099924 Enrollment ID: I20100121000743 |
| Provider Name | Jose L Reyna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205163425 PECOS PAC ID: 3577605658 Enrollment ID: I20100127000967 |
| Provider Name | Mary K Ruth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326085846 PECOS PAC ID: 6507901097 Enrollment ID: I20100309000239 |
| Provider Name | Christian Nissen Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356380984 PECOS PAC ID: 2466585146 Enrollment ID: I20100802000392 |
| Provider Name | Hannah R Pappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760439707 PECOS PAC ID: 0941326870 Enrollment ID: I20100928000921 |
| Provider Name | Yuriko Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669786661 PECOS PAC ID: 9830384502 Enrollment ID: I20101109000208 |
| Provider Name | Kristin J Burgher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356598239 PECOS PAC ID: 9638358963 Enrollment ID: I20110119000586 |
| Provider Name | Greta C Lyders |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629126081 PECOS PAC ID: 1254510274 Enrollment ID: I20110124000580 |
| Provider Name | Eva M Galvez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801015524 PECOS PAC ID: 0244323947 Enrollment ID: I20110127000201 |
| Provider Name | Mary D Busch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235219726 PECOS PAC ID: 8123208550 Enrollment ID: I20110202000375 |
| Provider Name | Douglas Raymond Lyon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700033925 PECOS PAC ID: 3375726680 Enrollment ID: I20110324000210 |
| Provider Name | Kelly J Medeiros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508166919 PECOS PAC ID: 4486831989 Enrollment ID: I20110609000766 |
| Provider Name | Carolyn L Goebel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073749164 PECOS PAC ID: 5395917629 Enrollment ID: I20111011000370 |
| Provider Name | Meagan H Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609155548 PECOS PAC ID: 5395918619 Enrollment ID: I20111102000532 |
| Provider Name | Soledad T Ayres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346405099 PECOS PAC ID: 8527232552 Enrollment ID: I20111130000859 |
| Provider Name | Tanya E Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528031630 PECOS PAC ID: 5890789580 Enrollment ID: I20111205000865 |
| Provider Name | Jolson Korah Tharakan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275784555 PECOS PAC ID: 5496937419 Enrollment ID: I20120124000208 |
| Provider Name | Christine Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871685370 PECOS PAC ID: 4284632779 Enrollment ID: I20120821000581 |
| Provider Name | Sheila M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053379479 PECOS PAC ID: 3072530534 Enrollment ID: I20130415000499 |
| Provider Name | Jennifer A Lietzke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699701631 PECOS PAC ID: 4880671429 Enrollment ID: I20130628000758 |
| Provider Name | Kimberly A Cummings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407173040 PECOS PAC ID: 3072757517 Enrollment ID: I20130923000649 |
| Provider Name | Kimberly A Allard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295165389 PECOS PAC ID: 5193957439 Enrollment ID: I20140421000206 |
| Provider Name | Susan E Speece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124323050 PECOS PAC ID: 2668622150 Enrollment ID: I20140701000874 |
| Provider Name | Nina Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639465271 PECOS PAC ID: 7911122924 Enrollment ID: I20140814000541 |
| Provider Name | Joana Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538583471 PECOS PAC ID: 8527288109 Enrollment ID: I20141002000549 |
| Provider Name | Amy L Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497090443 PECOS PAC ID: 2567684806 Enrollment ID: I20141120002126 |
| Provider Name | Kelly S Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407083215 PECOS PAC ID: 1951550441 Enrollment ID: I20141205001523 |
| Provider Name | Elizabeth Uno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962796508 PECOS PAC ID: 0143454744 Enrollment ID: I20150105000916 |
| Provider Name | Trevor Moerkerke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437449287 PECOS PAC ID: 5193955490 Enrollment ID: I20150225001992 |
| Provider Name | Kelly Crawford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275562142 PECOS PAC ID: 1052466646 Enrollment ID: I20150225002049 |
| Provider Name | Melissa Arguello Belli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982649794 PECOS PAC ID: 7719911858 Enrollment ID: I20150519002602 |
| Provider Name | Merika Goldstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013299775 PECOS PAC ID: 7618297045 Enrollment ID: I20150526001362 |
| Provider Name | Jennifer M Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295095354 PECOS PAC ID: 2567783764 Enrollment ID: I20150529002301 |
| Provider Name | Thomas B Stason |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1942362199 PECOS PAC ID: 7113196528 Enrollment ID: I20150602001904 |
| Provider Name | Jennifer Mueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093740268 PECOS PAC ID: 1850368168 Enrollment ID: I20150609002940 |
| Provider Name | Angelina Platas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619966918 PECOS PAC ID: 2668458522 Enrollment ID: I20150806010132 |
| Provider Name | Ingrid Solares |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316209331 PECOS PAC ID: 6507171980 Enrollment ID: I20150813011126 |
| Provider Name | Kimberley Arianna Neroda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275895112 PECOS PAC ID: 0042526733 Enrollment ID: I20150825005849 |
| Provider Name | Angeline Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598141194 PECOS PAC ID: 3779890017 Enrollment ID: I20150917003014 |
| Provider Name | Michele J Bergmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902166481 PECOS PAC ID: 1153639083 Enrollment ID: I20150925002784 |
| Provider Name | Toy Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093095242 PECOS PAC ID: 7911159843 Enrollment ID: I20151006001323 |
| Provider Name | Kathryn Louise Menninger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346549920 PECOS PAC ID: 2163652363 Enrollment ID: I20151009001762 |
| Provider Name | Tera L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659620391 PECOS PAC ID: 8123336211 Enrollment ID: I20151009002218 |
| Provider Name | Erik Rosekrans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437313350 PECOS PAC ID: 3577630268 Enrollment ID: I20160121002776 |
| Provider Name | Miguel Ruvalcaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124471628 PECOS PAC ID: 5698069680 Enrollment ID: I20160815001318 |
| Provider Name | Martin Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982042578 PECOS PAC ID: 1052614153 Enrollment ID: I20160907001592 |
| Provider Name | Elsbeth C Lo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316280225 PECOS PAC ID: 5799099248 Enrollment ID: I20161017001386 |
| Provider Name | Miriam Agisim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538506266 PECOS PAC ID: 3779861778 Enrollment ID: I20161026001174 |
| Provider Name | Melinda Strnad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801117635 PECOS PAC ID: 9234370842 Enrollment ID: I20161202002162 |
| Provider Name | Talia Buchsbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326479783 PECOS PAC ID: 9638300619 Enrollment ID: I20170120000427 |
| Provider Name | Daria Sciarrone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053467647 PECOS PAC ID: 5193818300 Enrollment ID: I20170926003730 |
| Provider Name | Dawn Mautner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770774598 PECOS PAC ID: 0941340459 Enrollment ID: I20170928001929 |
| Provider Name | Hewha Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891997649 PECOS PAC ID: 7810262946 Enrollment ID: I20170929000024 |
| Provider Name | Dana Kuhn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275944415 PECOS PAC ID: 6204126766 Enrollment ID: I20171115003452 |
| Provider Name | Caitlin Karplus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376884379 PECOS PAC ID: 0244532695 Enrollment ID: I20171117001998 |
| Provider Name | Rachel Soto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578860920 PECOS PAC ID: 3779767371 Enrollment ID: I20171130001360 |
| Provider Name | Lucia Esmeralda Obregon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548758709 PECOS PAC ID: 2365791142 Enrollment ID: I20180828002468 |
| Provider Name | Sheila Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669434098 PECOS PAC ID: 7810085297 Enrollment ID: I20180905001846 |
| Provider Name | Regina Marie Szczesniak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205274826 PECOS PAC ID: 4880978022 Enrollment ID: I20181005000965 |
| Provider Name | Alexandra B. Werner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972999720 PECOS PAC ID: 1456641760 Enrollment ID: I20190111002366 |
| Provider Name | Katherine Michelle Elstun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114963717 PECOS PAC ID: 5395747943 Enrollment ID: I20190201001374 |
| Provider Name | Peter Clemens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487858940 PECOS PAC ID: 6103814256 Enrollment ID: I20190222001667 |
| Provider Name | Erica Koltenuk |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003307158 PECOS PAC ID: 5294074415 Enrollment ID: I20190306002160 |
| Provider Name | Valeria Mallett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285168435 PECOS PAC ID: 4486994522 Enrollment ID: I20190327001891 |
| Provider Name | Irma B Rosales Villegas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639303985 PECOS PAC ID: 6305189176 Enrollment ID: I20190517001332 |
| Provider Name | Teresa Erin Bair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730599564 PECOS PAC ID: 8628370087 Enrollment ID: I20190830002838 |
| Provider Name | Lisa Kipersztok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952796468 PECOS PAC ID: 6507172954 Enrollment ID: I20191121000934 |
| Provider Name | Rebecca Carrasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801441787 PECOS PAC ID: 1759714488 Enrollment ID: I20191210002195 |
| Provider Name | Mark F Mailhot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861534075 PECOS PAC ID: 7113020173 Enrollment ID: I20191218001354 |
| Provider Name | Kevin J Lundell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992204556 PECOS PAC ID: 9234480468 Enrollment ID: I20200103002317 |
| Provider Name | Licci Jaimes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417473992 PECOS PAC ID: 2365879558 Enrollment ID: I20200228000340 |
| Provider Name | Maryalice Mcnamara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518384627 PECOS PAC ID: 4587881123 Enrollment ID: I20200305001386 |
| Provider Name | Kathryn Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720084213 PECOS PAC ID: 1850357104 Enrollment ID: I20200320001843 |
| Provider Name | Caroline M Carwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679097356 PECOS PAC ID: 4789959263 Enrollment ID: I20200403002769 |
| Provider Name | Dawn Lynn Phillips |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487290508 PECOS PAC ID: 6204267818 Enrollment ID: I20200515000577 |
| Provider Name | Catherine Ulrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821357427 PECOS PAC ID: 9335389717 Enrollment ID: I20200710002771 |
| Provider Name | Mayra Alejandra Bustos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831707876 PECOS PAC ID: 0446670988 Enrollment ID: I20201021002355 |
| Provider Name | Chelsea Marie Mcguire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871970152 PECOS PAC ID: 8628385937 Enrollment ID: I20201123003138 |
| Provider Name | Hannah Katherine Mccann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629599444 PECOS PAC ID: 4385055201 Enrollment ID: I20201125002512 |
| Provider Name | Jessica J Bonilla |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710593967 PECOS PAC ID: 1456768936 Enrollment ID: I20210330000155 |
| Provider Name | Rebecca Faulkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821419763 PECOS PAC ID: 0749582195 Enrollment ID: I20210406002365 |
| Provider Name | Jerie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881114676 PECOS PAC ID: 1759640121 Enrollment ID: I20210714001238 |
| Provider Name | Sheena Roubique Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497947717 PECOS PAC ID: 4688767924 Enrollment ID: I20220602000846 |
| Provider Name | Skyler August Gideon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669136131 PECOS PAC ID: 0648659987 Enrollment ID: I20220616002637 |
| Provider Name | Emily Anna Paddon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043837057 PECOS PAC ID: 8426437674 Enrollment ID: I20220620000589 |
| Provider Name | Julie Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851762587 PECOS PAC ID: 8820398886 Enrollment ID: I20220708003311 |
| Provider Name | Molly Rabinowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023441623 PECOS PAC ID: 3678995586 Enrollment ID: I20220712002631 |
| Provider Name | Eric Deward Eddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912468372 PECOS PAC ID: 4688079635 Enrollment ID: I20220912000680 |
| Provider Name | Paris Gilbert Russ Kenzo Aaron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871079111 PECOS PAC ID: 3173955135 Enrollment ID: I20220912000688 |
| Provider Name | Troy Alexander-el |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831453638 PECOS PAC ID: 3476861527 Enrollment ID: I20220914000362 |
| Provider Name | Alysia M Paaluhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083228175 PECOS PAC ID: 6103201512 Enrollment ID: I20220921003414 |
| Provider Name | Aaron Gale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912401506 PECOS PAC ID: 5294168282 Enrollment ID: I20220927001488 |
| Provider Name | Diego Thomas Perez-campos |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407573835 PECOS PAC ID: 6800265307 Enrollment ID: I20221205002512 |
| Provider Name | Kari Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982198131 PECOS PAC ID: 3476944828 Enrollment ID: I20221227001929 |
| Provider Name | Jenan Hilal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265964753 PECOS PAC ID: 1456624543 Enrollment ID: I20221228000320 |
| Provider Name | Kathleen A Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053307090 PECOS PAC ID: 4082627781 Enrollment ID: I20230109000490 |
| Provider Name | Luis Bautista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295712206 PECOS PAC ID: 2668505785 Enrollment ID: I20230223001249 |
| Provider Name | Ilana Pena-sanders |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083336887 PECOS PAC ID: 2264889757 Enrollment ID: I20231105000032 |
Fred Meyer Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Baseline St, Cornelius, OR 97113 Phone: 503-359-3103 Fax: 503-359-3341 | |
Virginia Garcia Memorial Health Center Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1151 N Adair St, Cornelius, OR 97113 Phone: 503-352-8552 Fax: 503-352-8554 |