PROVIDENCE HEALTH & SERVICES OREGON
Medicare Clinicians for NPI 1104097906
Pediatrics in Longview, WA

Active since March 19, 2008
971 11TH AVE, LONGVIEW, WA 98632(360) 577-1771 Get Directions

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2025, May 16, 2025, Nov 13, 2018 (3 updates tracked since 2018).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Providence Health & Services Oregon in Longview, WA bills Medicare for 1,560 clinicians across 56 Medicare specialties. The largest specialties are Internal Medicine with 251, Family Practice with 213 and Nurse Practitioner with 210. Of these, 1 practice within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

1,560Clinicians
56Medicare specialties
1,442PECOS enrolled
1,331Accept Medicare
Showing the 250 nearest of 1,560 clinicians, in 56 specialties

This page lists the 250 clinicians practicing nearest to this organization's location. All 1,560 are counted in the totals above.

Family Practice (7 of 213)

Family Practice
NPI 1053610493
1615 DELAWARE ST
Longview, WA 98632
(360) 414-7800
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1770276198
100 E 33RD ST STE 100
Vancouver, WA 98663
(360) 514-7556
✔ PECOS✔ Accepts Medicare36 mi
Family Practice
NPI 1730563214
100 E 33RD ST STE 100
Vancouver, WA 98663
(360) 514-7560
✔ PECOS✔ Accepts Medicare36 mi
Family Practice
NPI 1225000334
15640 NW LAIDLAW RD SUITE 102
Portland, OR 97229
(503) 764-0100
✔ PECOS40 mi
Family Practice
NPI 1114311222
15640 NW LAIDLAW RD STE 102
Portland, OR 97229
(503) 764-0100
✔ PECOS✔ Accepts Medicare40 mi
Family Practice
NPI 1033273784
15640 NW LAIDLAW RD SUITE 102
Portland, OR 97229
(503) 764-0100
✔ PECOS✔ Accepts Medicare40 mi
Family Practice
NPI 1356635395
15640 NW LAIDLAW RD SUITE 102
Portland, OR 97229
(503) 764-0100
✔ PECOS✔ Accepts Medicare40 mi

Nurse Practitioner (7 of 210)

Nurse Practitioner
NPI 1053732677
401 SW BELAIR DR
Clatskanie, OR 97016
(503) 728-5088
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1780403915
400 E EVERGREEN BLVD STE 217
Vancouver, WA 98660
(509) 596-1138
✔ PECOS37 mi
Nurse Practitioner
NPI 1891101671
650 N DEVINE RD STE B
Vancouver, WA 98661
(360) 952-4457
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1760789176
400 NE MOTHER JOSEPH PL
Vancouver, WA 98664
(360) 514-3727
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1235665522
15640 NW LAIDLAW RD STE 102
Portland, OR 97229
(503) 764-0100
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1952851685
15640 NW LAIDLAW RD STE 102
Portland, OR 97229
(503) 764-0100
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1639983133
15640 NW LAIDLAW RD STE 102
Portland, OR 97229
(503) 956-7120
✔ PECOS✔ Accepts Medicare40 mi

Anesthesiology (6 of 12)

Anesthesiology
NPI 1710446745
9427 SW BARNES RD STE 495
Portland, OR 97225
(503) 216-8670
✔ PECOS✔ Accepts Medicare44 mi
Anesthesiology
NPI 1922591296
707 SW WASHINGTON ST STE 700
Portland, OR 97205
(503) 299-9906
✔ PECOS✔ Accepts Medicare44 mi
Anesthesiology
NPI 1194276931
707 SW WASHINGTON ST STE 700
Portland, OR 97205
(503) 299-9906
✔ PECOS✔ Accepts Medicare44 mi
Anesthesiology
NPI 1821009556
707 SW WASHINGTON ST STE 700
Portland, OR 97205
(503) 299-9906
✔ PECOS44 mi
Anesthesiology
NPI 1609070770
707 SW WASHINGTON ST SUITE 700
Portland, OR 97205
(503) 299-9906
✔ PECOS✔ Accepts Medicare44 mi
Anesthesiology
NPI 1952366775
707 SW WASHINGTON ST SUITE 700
Portland, OR 97205
(503) 299-9906
✔ PECOS✔ Accepts Medicare44 mi

Cardiovascular Disease (Cardiology) (6 of 31)

Cardiovascular Disease (Cardiology)
NPI 1174555312
1355 EXCHANGE ST
Astoria, OR 97103
(503) 717-7850
✔ PECOS✔ Accepts Medicare43 mi
Cardiovascular Disease (Cardiology)
NPI 1487697488
9427 SW BARNES RD SUITE 498
Portland, OR 97225
(503) 216-0900
✔ PECOS✔ Accepts Medicare44 mi
Cardiovascular Disease (Cardiology)
NPI 1285741843
9427 SW BARNES RD STE 599
Portland, OR 97225
(503) 216-1182
✔ PECOS✔ Accepts Medicare44 mi
Cardiovascular Disease (Cardiology)
NPI 1225096167
9427 SW BARNES RD STE 495
Portland, OR 97225
(503) 216-1661
✔ PECOS✔ Accepts Medicare44 mi
Cardiovascular Disease (Cardiology)
NPI 1790749422
9427 SW BARNES RD SUITE 498
Portland, OR 97225
(503) 216-0900
✔ PECOS✔ Accepts Medicare44 mi
Cardiovascular Disease (Cardiology)
NPI 1407972821
9427 SW BARNES RD STE 495
Portland, OR 97225
(503) 216-1661
✔ PECOS✔ Accepts Medicare44 mi

Certified Nurse Midwife (CNM) (6 of 34)

Certified Nurse Midwife (CNM)
NPI 1770012403
2018 GRAND BLVD
Vancouver, WA 98661
(360) 852-9092
✔ PECOS✔ Accepts Medicare37 mi
Certified Nurse Midwife (CNM)
NPI 1235459041
333 SE 7TH AVE STE 5500
Hillsboro, OR 97123
(503) 597-4500
✔ PECOS✔ Accepts Medicare42 mi
Certified Nurse Midwife (CNM)
NPI 1770064560
2800 N VANCOUVER AVE
Portland, OR 97227
(503) 413-4500
✔ PECOS✔ Accepts Medicare43 mi
Certified Nurse Midwife (CNM)
NPI 1396009254
9555 SW BARNES RD SUITE 100
Portland, OR 97225
(503) 292-3577
✔ PECOS44 mi
Certified Nurse Midwife (CNM)
NPI 1932523701
9155 SW BARNES RD STE 730
Portland, OR 97225
(503) 216-4033
✔ PECOS44 mi
Certified Nurse Midwife (CNM)
NPI 1427608470
9155 SW BARNES RD STE 730
Portland, OR 97225
(503) 216-4033
✔ PECOS✔ Accepts Medicare44 mi

Clinical Psychologist (6 of 53)

Clinical Psychologist
NPI 1841725223
15640 NW LAIDLAW RD STE 102
Portland, OR 97229
(503) 764-0100
✔ PECOS✔ Accepts Medicare40 mi
Clinical Psychologist
NPI 1952284713
4920 N INTERSTATE AVE
Portland, OR 97217
(503) 215-3300
✔ PECOS✔ Accepts Medicare41 mi
Clinical Psychologist
NPI 1003305970
10670 NE CORNELL RD STE 300
Hillsboro, OR 97124
(503) 216-9300
✔ PECOS✔ Accepts Medicare41 mi
Clinical Psychologist
NPI 1184249161
10670 NE CORNELL RD STE 300
Hillsboro, OR 97124
(503) 216-9300
✔ PECOS✔ Accepts Medicare41 mi
Clinical Psychologist
NPI 1083227805
5555 NE ELAM YOUNG PKWY
Hillsboro, OR 97124
(503) 216-2600
✔ PECOS✔ Accepts Medicare42 mi
Clinical Psychologist
NPI 1356550362
12400 NW CORNELL RD STE 100
Portland, OR 97229
(503) 291-4000
✔ PECOS✔ Accepts Medicare42 mi

Clinical Social Worker (6 of 28)

Clinical Social Worker
NPI 1740586601
3530 NE AINSWORTH ST
Portland, OR 97211
(541) 678-3645
✔ PECOS42 mi
Clinical Social Worker
NPI 1073659298
9155 SW BARNES RD STE 333
Portland, OR 97225
(503) 216-5102
✔ PECOS✔ Accepts Medicare44 mi
Clinical Social Worker
NPI 1710504162
9155 SW BARNES RD STE 205
Portland, OR 97225
(503) 216-2025
✔ PECOS44 mi
Clinical Social Worker
NPI 1053968578
9155 SW BARNES RD STE 333
Portland, OR 97225
(503) 216-5102
✔ PECOS✔ Accepts Medicare44 mi
Clinical Social Worker
NPI 1033082961
9155 SW BARNES RD STE 205
Portland, OR 97225
(503) 216-2454
✔ PECOS44 mi
Clinical Social Worker
NPI 1881203628
9155 SW BARNES RD STE 333
Portland, OR 97225
(503) 216-5102
✔ PECOS✔ Accepts Medicare44 mi

Dermatology (6 of 21)

Dermatology
NPI 1508010372
301 NE KNOTT ST
Portland, OR 97212
(503) 253-3910
✔ PECOS✔ Accepts Medicare43 mi
Dermatology
NPI 1265468615
417 SW 117TH AVE 2ND FLOOR
Portland, OR 97225
(503) 216-9400
✔ PECOS✔ Accepts Medicare43 mi
Dermatology
NPI 1891737201
417 SW 117TH AVE STE 100
Portland, OR 97225
(503) 216-8980
✔ PECOS✔ Accepts Medicare43 mi
Dermatology
NPI 1093731093
417 SW 117TH AVE 2ND FLOOR
Portland, OR 97225
(503) 216-9400
✔ PECOS✔ Accepts Medicare43 mi
Dermatology
NPI 1518329804
417 SW 117TH AVE STE 100
Portland, OR 97225
(503) 216-8980
✔ PECOS✔ Accepts Medicare43 mi
Dermatology
NPI 1427293208
417 SW 117TH AVE STE 100
Portland, OR 97225
(503) 216-8980
✔ PECOS✔ Accepts Medicare43 mi

Diagnostic Radiology (6)

Diagnostic Radiology
NPI 1982022778
9205 SW BARNES RD
Portland, OR 97225
(503) 216-2171
✔ PECOS✔ Accepts Medicare44 mi
Diagnostic Radiology
NPI 1518428713
9205 SW BARNES RD
Portland, OR 97225
(503) 216-4830
✔ PECOS✔ Accepts Medicare44 mi
Diagnostic Radiology
NPI 1336568369
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-8650
✔ PECOS✔ Accepts Medicare44 mi
Diagnostic Radiology
NPI 1710122106
545 NE 47TH AVE STE 215
Portland, OR 97213
(503) 731-2900
✔ PECOS✔ Accepts Medicare44 mi
Diagnostic Radiology
NPI 1811194525
5050 NE HOYT ST SUITE 625
Portland, OR 97213
(503) 731-2904
✔ PECOS✔ Accepts Medicare45 mi
Diagnostic Radiology
NPI 1245618859
5050 NE HOYT ST STE 625
Portland, OR 97213
(503) 731-2900
✔ PECOS✔ Accepts Medicare45 mi

Emergency Medicine (6 of 30)

Emergency Medicine
NPI 1679077648
9205 SW BARNES RD
Portland, OR 97225
(503) 216-1234
✔ PECOS✔ Accepts Medicare44 mi
Emergency Medicine
NPI 1962792713
9155 SW BARNES RD SUITE #420
Portland, OR 97225
(503) 297-6334
✔ PECOS✔ Accepts Medicare44 mi
Emergency Medicine
NPI 1932284536
9205 SW BARNES RD
Portland, OR 97225
(503) 297-6334
✔ PECOS44 mi
Emergency Medicine
NPI 1407146822
9205 SW BARNES RD
Portland, OR 97225
(503) 216-1234
✔ PECOS✔ Accepts Medicare44 mi
Emergency Medicine
NPI 1134495625
9155 SW BARNES RD STE 420
Portland, OR 97225
(503) 297-6334
✔ PECOS✔ Accepts Medicare44 mi
Emergency Medicine
NPI 1851731673
9155 SW BARNES RD STE 420
Portland, OR 97225
(503) 297-6334
✔ PECOS✔ Accepts Medicare44 mi

Endocrinology (6 of 10)

Endocrinology
NPI 1003883026
501 N GRAHAM ST SUITE 375
Portland, OR 97227
(503) 413-1600
✔ PECOS43 mi
Endocrinology
NPI 1659576437
9155 SW BARNES RD STE 638
Portland, OR 97225
(503) 216-7000
✔ PECOS✔ Accepts Medicare44 mi
Endocrinology
NPI 1952450561
9135 SW BARNES RD SUITE 317
Portland, OR 97225
(503) 297-3336
✔ PECOS✔ Accepts Medicare44 mi
Endocrinology
NPI 1083653679
4805 NE GLISAN ST STE 6N40
Portland, OR 97213
(503) 215-6601
✔ PECOS✔ Accepts Medicare44 mi
Endocrinology
NPI 1871892653
4805 NE GLISAN ST STE 6N40
Portland, OR 97213
(503) 215-6601
✔ PECOS✔ Accepts Medicare44 mi
Endocrinology
NPI 1164521654
4805 NE GLISAN ST STE 6N40
Portland, OR 97213
(503) 215-6601
✔ PECOS✔ Accepts Medicare44 mi

General Surgery (6 of 36)

General Surgery
NPI 1902090061
505 NE 87TH AVE SUITE 301
Vancouver, WA 98664
(360) 514-1854
✔ PECOS✔ Accepts Medicare39 mi
General Surgery
NPI 1245433184
501 N GRAHAM ST SUITE 300
Portland, OR 97227
(503) 460-0065
✔ PECOS43 mi
General Surgery
NPI 1700144615
2055 EXCHANGE ST STE 270
Astoria, OR 97103
(503) 338-4670
✔ PECOS✔ Accepts Medicare43 mi
General Surgery
NPI 1477971117
1040 NW 22ND AVE STE 470
Portland, OR 97210
(503) 914-0024
✔ PECOS✔ Accepts Medicare43 mi
General Surgery
NPI 1811263080
9155 SW BARNES RD STE 238
Portland, OR 97225
(503) 216-6407
✔ PECOS✔ Accepts Medicare44 mi
General Surgery
NPI 1336468404
9155 SW BARNES RD STE 318
Portland, OR 97225
(503) 467-4761
✔ PECOS✔ Accepts Medicare44 mi

Hospice/Palliative Care (6)

Hospice/Palliative Care
NPI 1346432721
2211 NE 139TH ST
Vancouver, WA 98686
(360) 487-1169
✔ PECOS✔ Accepts Medicare32 mi
Hospice/Palliative Care
NPI 1336191618
6350 NE HALSEY ST
Portland, OR 97213
(503) 215-2669
✔ PECOS✔ Accepts Medicare44 mi
Hospice/Palliative Care
NPI 1922098060
6410 NE HALSEY ST STE 600
Portland, OR 97213
(503) 215-2669
✔ PECOS✔ Accepts Medicare44 mi
Hospice/Palliative Care
NPI 1285862565
6410 NE HALSEY ST STE 300
Portland, OR 97213
(503) 215-4691
✔ PECOS✔ Accepts Medicare44 mi
Hospice/Palliative Care
NPI 1164876827
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-1350
✔ PECOS✔ Accepts Medicare44 mi
Hospice/Palliative Care
NPI 1013116565
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
(888) 233-8305
✔ PECOS✔ Accepts Medicare45 mi

Hospitalist (6 of 102)

Hospitalist
NPI 1811131261
7101 NE 137TH AVE
Vancouver, WA 98682
(360) 418-6000
✔ PECOS✔ Accepts Medicare37 mi
Hospitalist
NPI 1922202787
9205 SW BARNES RD
Portland, OR 97225
(503) 216-2906
✔ PECOS✔ Accepts Medicare44 mi
Hospitalist
NPI 1265693287
9205 SW BARNES RD
Portland, OR 97225
(503) 216-2906
✔ PECOS✔ Accepts Medicare44 mi
Hospitalist
NPI 1417912189
9205 SW BARNES RD
Portland, OR 97225
(503) 216-2906
✔ PECOS✔ Accepts Medicare44 mi
Hospitalist
NPI 1013943661
9205 SW BARNES RD
Portland, OR 97225
(503) 216-2906
✔ PECOS✔ Accepts Medicare44 mi
Hospitalist
NPI 1083737266
9205 SW BARNES RD
Portland, OR 97225
(503) 216-2906
✔ PECOS✔ Accepts Medicare44 mi

Infectious Disease (6 of 20)

Infectious Disease
NPI 1720290190
2801 N GANTENBEIN AVE RM 4117
Portland, OR 97227
(503) 413-6807
✔ PECOS✔ Accepts Medicare43 mi
Infectious Disease
NPI 1003965948
9155 SW BARNES RD STE 638
Portland, OR 97225
(503) 216-7000
✔ PECOS✔ Accepts Medicare44 mi
Infectious Disease
NPI 1902339971
9155 SW BARNES RD STE 638
Portland, OR 97225
(503) 216-7000
✔ PECOS✔ Accepts Medicare44 mi
Infectious Disease
NPI 1609806785
9155 SW BARNES RD # 931
Portland, OR 97225
(503) 216-7000
✔ PECOS✔ Accepts Medicare44 mi
Infectious Disease
NPI 1407802143
9155 SW BARNES RD STE 638
Portland, OR 97225
(503) 216-7000
✔ PECOS✔ Accepts Medicare44 mi
Infectious Disease
NPI 1841226255
9155 SW BARNES RD STE 638
Portland, OR 97225
(503) 216-7000
✔ PECOS✔ Accepts Medicare44 mi

Internal Medicine (6 of 251)

Internal Medicine
NPI 1992970206
2211 NE 139TH ST
Vancouver, WA 98686
(503) 413-8407
✔ PECOS✔ Accepts Medicare32 mi
Internal Medicine
NPI 1871088229
400 NE MOTHER JOSEPH PL
Vancouver, WA 98664
(800) 813-2000
✔ PECOS✔ Accepts Medicare39 mi
Internal Medicine
NPI 1679509111
2155 NW 173RD AVE SUITE 102
Beaverton, OR 97006
(503) 531-9990
✔ PECOS✔ Accepts Medicare41 mi
Internal Medicine
NPI 1528641545
10690 NE CORNELL RD STE 215
Hillsboro, OR 97124
(503) 216-5240
✔ PECOS✔ Accepts Medicare41 mi
Internal Medicine
NPI 1114656204
9629 NW SILVER RIDGE LOOP
Portland, OR 97229
(503) 367-0123
✔ PECOS✔ Accepts Medicare42 mi
Internal Medicine
NPI 1922138627
12400 NW CORNELL RD STE 200
Portland, OR 97229
(503) 352-0211
✔ PECOS✔ Accepts Medicare42 mi

Interventional Cardiology (6 of 8)

Interventional Cardiology
NPI 1710921085
9427 SW BARNES RD STE 498
Portland, OR 97225
(503) 216-0900
✔ PECOS✔ Accepts Medicare44 mi
Interventional Cardiology
NPI 1043447873
9427 SW BARNES RD STE 495
Portland, OR 97225
(503) 216-1661
✔ PECOS✔ Accepts Medicare44 mi
Interventional Cardiology
NPI 1477997724
9427 SW BARNES RD STE 495
Portland, OR 97225
(503) 962-1000
✔ PECOS✔ Accepts Medicare44 mi
Interventional Cardiology
NPI 1780047183
9427 SW BARNES RD STE 495
Portland, OR 97225
(503) 962-1000
✔ PECOS✔ Accepts Medicare44 mi
Interventional Cardiology
NPI 1609818939
9427 SW BARNES RD STE 498
Portland, OR 97225
(503) 216-0900
✔ PECOS✔ Accepts Medicare44 mi
Interventional Cardiology
NPI 1164764288
9427 SW BARNES RD STE 495
Portland, OR 97225
(503) 962-1000
✔ PECOS✔ Accepts Medicare44 mi

Medical Oncology (6 of 18)

Medical Oncology
NPI 1437404571
505 NE 87TH AVE STE 320
Vancouver, WA 98664
(360) 514-2550
✔ PECOS✔ Accepts Medicare39 mi
Medical Oncology
NPI 1770733073
505 NE 87TH AVE STE 320
Vancouver, WA 98664
(360) 514-2550
✔ PECOS✔ Accepts Medicare39 mi
Medical Oncology
NPI 1124021753
9135 SW BARNES RD STE 261
Portland, OR 97225
(503) 216-6300
✔ PECOS✔ Accepts Medicare44 mi
Medical Oncology
NPI 1023212784
9135 SW BARNES RD STE 261
Portland, OR 97225
(503) 216-6300
✔ PECOS✔ Accepts Medicare44 mi
Medical Oncology
NPI 1326433475
9135 SW BARNES RD STE 261
Portland, OR 97225
(503) 216-6300
✔ PECOS✔ Accepts Medicare44 mi
Medical Oncology
NPI 1891727608
9135 SW BARNES RD STE 261
Portland, OR 97225
(503) 216-6300
✔ PECOS✔ Accepts Medicare44 mi

Mental Health Counselor (6 of 13)

Mental Health Counselor
NPI 1245783133
9155 SW BARNES RD STE 205
Portland, OR 97225
(503) 216-6134
✔ PECOS44 mi
Mental Health Counselor
NPI 1558662593
9155 SW BARNES RD STE 634
Portland, OR 97225
(503) 216-6662
✔ PECOS44 mi
Mental Health Counselor
NPI 1578609202
9155 SW BARNES RD STE 205
Portland, OR 97225
(503) 216-2025
✔ PECOS44 mi
Mental Health Counselor
NPI 1730831140
9135 SW BARNES RD STE 987
Portland, OR 97225
(503) 216-2811
✔ PECOS44 mi
Mental Health Counselor
NPI 1639495989
9450 SW BARNES RD SUITE 200
Portland, OR 97225
(503) 216-2290
✔ PECOS44 mi
Mental Health Counselor
NPI 1669705018
9450 SW BARNES RD STE 200
Portland, OR 97225
(503) 216-3511
✔ PECOS44 mi

Neurology (6 of 91)

Neurology
NPI 1174898381
2211 NE 139TH ST STE 3E120
Vancouver, WA 98686
(360) 487-5342
✔ PECOS✔ Accepts Medicare32 mi
Neurology
NPI 1518156504
9155 SW BARNES RD STE 440
Portland, OR 97225
(503) 935-8500
✔ PECOS✔ Accepts Medicare44 mi
Neurology
NPI 1275794802
9135 SW BARNES RD STE 461
Portland, OR 97225
(503) 216-1150
✔ PECOS✔ Accepts Medicare44 mi
Neurology
NPI 1104093665
9135 SW BARNES RD STE 461
Portland, OR 97225
(503) 216-1150
✔ PECOS✔ Accepts Medicare44 mi
Neurology
NPI 1457778656
9135 SW BARNES RD STE 461
Portland, OR 97225
(503) 216-1150
✔ PECOS✔ Accepts Medicare44 mi
Neurology
NPI 1609837913
9155 SW BARNES RD SUITE 317
Portland, OR 97225
(503) 216-1150
✔ PECOS✔ Accepts Medicare44 mi

Obstetrics/Gynecology (6 of 57)

Obstetrics/Gynecology
NPI 1043324270
2211 NE 139TH ST
Vancouver, WA 98686
(360) 487-1000
✔ PECOS✔ Accepts Medicare32 mi
Obstetrics/Gynecology
NPI 1871678565
3550 N INTERSTATE AVE
Portland, OR 97227
(503) 331-6142
✔ PECOS✔ Accepts Medicare42 mi
Obstetrics/Gynecology
NPI 1144486507
300 N GRAHAM ST STE 100
Portland, OR 97227
(503) 413-1122
✔ PECOS✔ Accepts Medicare43 mi
Obstetrics/Gynecology
NPI 1427068410
1040 NW 22ND AVE STE 330
Portland, OR 97210
(503) 274-9936
✔ PECOS✔ Accepts Medicare43 mi
Obstetrics/Gynecology
NPI 1679695050
9701 SW BARNES RD STE 299
Portland, OR 97225
(503) 297-3660
✔ PECOS✔ Accepts Medicare43 mi
Obstetrics/Gynecology
NPI 1609069525
9701 SW BARNES RD STE 299
Portland, OR 97225
(503) 297-3660
✔ PECOS43 mi

Occupational Therapist in Private Practice (6 of 15)

Occupational Therapist in Private Practice
NPI 1750026803
9135 SW BARNES RD STE 561
Portland, OR 97225
(503) 216-2339
44 mi
Occupational Therapist in Private Practice
NPI 1609229509
9135 SW BARNES RD STE 561
Portland, OR 97225
(503) 216-2339
44 mi
Occupational Therapist in Private Practice
NPI 1275037368
9135 SW BARNES RD STE 561
Portland, OR 97225
(503) 216-2339
44 mi
Occupational Therapist in Private Practice
NPI 1730038001
7305 SE CIRCUIT DR STE 140
Hillsboro, OR 97123
(971) 501-4905
✔ Accepts Medicare44 mi
Occupational Therapist in Private Practice
NPI 1003578543
830 NE 47TH AVE
Portland, OR 97213
(503) 215-2233
44 mi
Occupational Therapist in Private Practice
NPI 1275172066
830 NE 47TH AVE
Portland, OR 97213
(503) 215-2233
44 mi

Pediatric Medicine (6 of 26)

Pediatric Medicine
NPI 1134534928
10060 NE EVERGREEN PKWY
Hillsboro, OR 97124
(800) 813-2000
✔ PECOS41 mi
Pediatric Medicine
NPI 1164486759
300 N GRAHAM ST SUITE 420
Portland, OR 97227
(503) 281-5139
✔ PECOS43 mi
Pediatric Medicine
NPI 1578996518
9135 SW BARNES RD STE 561
Portland, OR 97225
(503) 216-2339
✔ PECOS44 mi
Pediatric Medicine
NPI 1275641060
9205 SW BARNES RD 1ST FLOOR
Portland, OR 97225
(503) 216-2906
✔ PECOS✔ Accepts Medicare44 mi
Pediatric Medicine
NPI 1538736939
9205 SW BARNES RD
Portland, OR 97225
(503) 216-2906
✔ PECOS✔ Accepts Medicare44 mi
Pediatric Medicine
NPI 1871797340
9205 SW BARNES RD
Portland, OR 97225
(503) 216-2906
✔ PECOS✔ Accepts Medicare44 mi

Physical Therapist in Private Practice (6 of 54)

Physical Therapist in Private Practice
NPI 1811192131
ONE CENTER COURT STE110
Portland, OR 97227
(503) 797-9585
✔ Accepts Medicare43 mi
Physical Therapist in Private Practice
NPI 1316518095
9135 SW BARNES RD STE 561
Portland, OR 97225
(503) 924-7582
44 mi
Physical Therapist in Private Practice
NPI 1851845440
9155 SW BARNES RD GERRY FRANK CENTER FOR CHILDREN
Portland, OR 97225
(503) 216-8369
44 mi
Physical Therapist in Private Practice
NPI 1336906320
9135 SW BARNES RD STE 561
Portland, OR 97225
(503) 216-2339
44 mi
Physical Therapist in Private Practice
NPI 1326526203
9135 SW BARNES RD STE 362
Portland, OR 97225
(503) 216-2610
✔ Accepts Medicare44 mi
Physical Therapist in Private Practice
NPI 1265768741
9135 SW BARNES RD
Portland, OR 97225
(503) 216-2610
✔ Accepts Medicare44 mi

Psychiatry (6 of 54)

Psychiatry
NPI 1316238603
5 CENTERPOINTE DR STE 320
Lake Oswego, OR 97035
(971) 213-2837
✔ PECOS40 mi
Psychiatry
NPI 1033124540
1225 NE 2ND AVE
Portland, OR 97232
(503) 944-8000
✔ PECOS43 mi
Psychiatry
NPI 1619409786
9155 SW BARNES RD STE 333
Portland, OR 97225
(503) 216-5102
✔ PECOS✔ Accepts Medicare44 mi
Psychiatry
NPI 1770935280
9155 SW BARNES RD STE 333
Portland, OR 97225
(503) 216-5102
✔ PECOS44 mi
Psychiatry
NPI 1780940403
9155 SW BARNES RD STE 333
Portland, OR 97225
(503) 216-5102
✔ PECOS✔ Accepts Medicare44 mi
Psychiatry
NPI 1861997280
9155 SW BARNES RD STE 333
Portland, OR 97225
(503) 216-5102
✔ PECOS✔ Accepts Medicare44 mi

Qualified Speech Language Pathologist (6 of 20)

Qualified Speech Language Pathologist
NPI 1396332508
9205 SW BARNES RD
Portland, OR 97225
(503) 216-1234
44 mi
Qualified Speech Language Pathologist
NPI 1063967628
9155 SW BARNES RD
Portland, OR 97225
(503) 216-2339
44 mi
Qualified Speech Language Pathologist
NPI 1992107544
9135 SW BARNES RD STE 261
Portland, OR 97225
(503) 215-3053
✔ Accepts Medicare44 mi
Qualified Speech Language Pathologist
NPI 1700570876
9135 SW BARNES RD STE 561
Portland, OR 97225
(503) 216-2339
44 mi
Qualified Speech Language Pathologist
NPI 1508592825
9135 SW BARNES RD STE 561
Portland, OR 97225
(503) 216-2339
✔ Accepts Medicare44 mi
Qualified Speech Language Pathologist
NPI 1477372209
9135 SW BARNES RD STE 5611
Portland, OR 97225
(503) 216-2339
44 mi

Registered Dietitian or Nutrition Professional (6 of 25)

Registered Dietitian or Nutrition Professional
NPI 1295074938
700 NE 87TH AVE
Vancouver, WA 98664
(360) 882-2778
39 mi
Registered Dietitian or Nutrition Professional
NPI 1528609161
9135 SW BARNES RD STE 761
Portland, OR 97225
(503) 216-2602
44 mi
Registered Dietitian or Nutrition Professional
NPI 1710424122
9205 SW BARNES RD
Portland, OR 97225
(503) 216-2453
44 mi
Registered Dietitian or Nutrition Professional
NPI 1962128140
9135 SW BARNES RD STE 561
Portland, OR 97225
(503) 924-7582
44 mi
Registered Dietitian or Nutrition Professional
NPI 1437799061
9427 SW BARNES RD STE 390
Portland, OR 97225
(503) 215-7230
✔ Accepts Medicare44 mi
Registered Dietitian or Nutrition Professional
NPI 1205708997
9427 SW BARNES RD STE 390
Portland, OR 97225
(844) 987-0491
44 mi

Rheumatology (6 of 7)

Rheumatology
NPI 1316977309
5050 NE HOYT ST STE 155
Portland, OR 97225
(503) 215-6819
✔ PECOS✔ Accepts Medicare45 mi
Rheumatology
NPI 1639279250
5050 NE HOYT ST STE 155
Portland, OR 97213
(503) 215-6819
✔ PECOS✔ Accepts Medicare45 mi
Rheumatology
NPI 1033403084
5050 NE HOYT ST STE 155
Portland, OR 97213
(503) 215-8619
✔ PECOS✔ Accepts Medicare45 mi
Rheumatology
NPI 1982670006
5050 NE HOYT ST STE 155
Portland, OR 97225
(503) 215-6819
✔ PECOS✔ Accepts Medicare45 mi
Rheumatology
NPI 1881623254
5050 NE HOYT ST STE 155
Portland, OR 97225
(503) 215-6819
✔ PECOS✔ Accepts Medicare45 mi
Rheumatology
NPI 1023229812
5050 NE HOYT ST STE 155
Portland, OR 97213
(503) 215-6819
✔ PECOS✔ Accepts Medicare45 mi

Thoracic Surgery (6 of 8)

Thoracic Surgery
NPI 1821607201
9135 SW BARNES RD STE 261
Portland, OR 97225
(503) 215-2300
✔ PECOS✔ Accepts Medicare44 mi
Thoracic Surgery
NPI 1013005461
9427 SW BARNES RD STE 593
Portland, OR 97225
(503) 216-8670
✔ PECOS✔ Accepts Medicare44 mi
Thoracic Surgery
NPI 1528256427
9427 SW BARNES RD STE 593
Portland, OR 97225
(503) 216-8670
✔ PECOS✔ Accepts Medicare44 mi
Thoracic Surgery
NPI 1891787180
9427 SW BARNES RD STE 593
Portland, OR 97225
(503) 216-8670
✔ PECOS✔ Accepts Medicare44 mi
Thoracic Surgery
NPI 1063973287
9427 SW BARNES RD STE 593
Portland, OR 97225
(503) 216-8670
✔ PECOS✔ Accepts Medicare44 mi
Thoracic Surgery
NPI 1538278700
4805 NE GLISAN ST STE 6N50
Portland, OR 97213
(503) 215-2300
✔ PECOS✔ Accepts Medicare44 mi

Advanced Heart Failure and Transplant Cardiology (5 of 6)

Advanced Heart Failure and Transplant Cardiology
NPI 1548223381
9427 SW BARNES ROAD SUITE 498
Portland, OR 97225
(503) 216-0900
✔ PECOS✔ Accepts Medicare44 mi
Advanced Heart Failure and Transplant Cardiology
NPI 1477732535
9427 SW BARNES RD STE 495
Portland, OR 97225
(503) 962-1000
✔ PECOS✔ Accepts Medicare44 mi
Advanced Heart Failure and Transplant Cardiology
NPI 1760771380
9427 SW BARNES RD STE 495
Portland, OR 97225
(503) 216-1661
✔ PECOS✔ Accepts Medicare44 mi
Advanced Heart Failure and Transplant Cardiology
NPI 1154663987
9427 SW BARNES RD STE 495
Portland, OR 97225
(503) 216-1661
✔ PECOS✔ Accepts Medicare44 mi
Advanced Heart Failure and Transplant Cardiology
NPI 1861697682
9427 SW BARNES RD SUITE 498
Portland, OR 97225
(503) 216-0900
✔ PECOS✔ Accepts Medicare44 mi

Cardiac Electrophysiology (5 of 7)

Cardiac Electrophysiology
NPI 1306844683
9427 SW BARNES RD STE 490
Portland, OR 97225
(503) 216-0770
✔ PECOS✔ Accepts Medicare44 mi
Cardiac Electrophysiology
NPI 1811308034
9427 SW BARNES RD STE 495
Portland, OR 97225
(503) 216-0770
✔ PECOS✔ Accepts Medicare44 mi
Cardiac Electrophysiology
NPI 1730187097
9427 SW BARNES RD STE 495
Portland, OR 97225
(503) 216-0770
✔ PECOS✔ Accepts Medicare44 mi
Cardiac Electrophysiology
NPI 1386925899
4400 NE HALSEY ST STE 102
Portland, OR 97213
(503) 962-1000
✔ PECOS✔ Accepts Medicare44 mi
Cardiac Electrophysiology
NPI 1598944928
4400 NE HALSEY ST STE 102
Portland, OR 97213
(503) 962-1000
✔ PECOS✔ Accepts Medicare44 mi

Gastroenterology (5 of 8)

Gastroenterology
NPI 1285668822
2415 NE 134TH ST SUITE 205
Vancouver, WA 98686
(360) 576-5060
✔ PECOS✔ Accepts Medicare32 mi
Gastroenterology
NPI 1992046825
5050 NE HOYT ST STE 610
Portland, OR 97213
(503) 467-4761
✔ PECOS✔ Accepts Medicare45 mi
Gastroenterology
NPI 1689698342
3181 SW SAM JACKSON PARK RD MAIL CODE L461
Portland, OR 97239
(503) 494-7137
✔ PECOS✔ Accepts Medicare45 mi
Gastroenterology
NPI 1790787554
1111 NE 99TH AVE SUITE 301
Portland, OR 97220
(503) 963-2707
✔ PECOS✔ Accepts Medicare45 mi
Gastroenterology
NPI 1154307478
9250 SW HALL BLVD
Tigard, OR 97223
(503) 293-0161
✔ PECOS✔ Accepts Medicare47 mi

Gynecological Oncology (5 of 6)

Gynecological Oncology
NPI 1598927261
1130 NW 22ND AVE SUITE 110
Portland, OR 97210
(503) 413-8654
✔ PECOS✔ Accepts Medicare43 mi
Gynecological Oncology
NPI 1588059638
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-2075
✔ PECOS✔ Accepts Medicare44 mi
Gynecological Oncology
NPI 1609130392
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-2075
✔ PECOS✔ Accepts Medicare44 mi
Gynecological Oncology
NPI 1912026600
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-2075
✔ PECOS✔ Accepts Medicare44 mi
Gynecological Oncology
NPI 1770598278
3181 SW SAM JACKSON PARK RD L466
Portland, OR 97239
(503) 494-4500
✔ PECOS✔ Accepts Medicare45 mi

Hematology/Oncology (5 of 7)

Hematology/Oncology
NPI 1669565230
3600 N INTERSTATE AVE
Portland, OR 97227
(503) 331-6545
✔ PECOS✔ Accepts Medicare42 mi
Hematology/Oncology
NPI 1598149650
9135 SW BARNES RD STE 261
Portland, OR 97225
(503) 216-6300
✔ PECOS✔ Accepts Medicare44 mi
Hematology/Oncology
NPI 1487876827
9135 SW BARNES RD SUITE 261
Portland, OR 97225
(503) 216-6300
✔ PECOS✔ Accepts Medicare44 mi
Hematology/Oncology
NPI 1689871535
4805 NE GLISAN ST SUITE 6N40
Portland, OR 97213
(503) 215-5696
✔ PECOS✔ Accepts Medicare44 mi
Hematology/Oncology
NPI 1225423148
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-5696
✔ PECOS✔ Accepts Medicare44 mi

Orthopedic Surgery (5 of 14)

Orthopedic Surgery
NPI 1831113133
11782 SW BARNES RD STE 300
Portland, OR 97225
(503) 214-5200
✔ PECOS✔ Accepts Medicare43 mi
Orthopedic Surgery
NPI 1750813523
500 NE MULTNOMAH ST
Portland, OR 97232
(503) 813-2000
✔ PECOS44 mi
Orthopedic Surgery
NPI 1609888742
3101 SW SAM JACKSON PARK RD
Portland, OR 97239
(503) 221-3424
✔ PECOS45 mi
Orthopedic Surgery
NPI 1942575147
3101 SW SAM JACKSON PARK RD
Portland, OR 97239
(503) 221-3424
✔ PECOS45 mi
Orthopedic Surgery
NPI 1619951548
3101 S. W. SAM JACKSON PARK RD.
Portland, OR 97239
(310) 967-1884
✔ PECOS45 mi

Otolaryngology (5)

Otolaryngology
NPI 1689777476
9427 SW BARNES RD STE 395
Portland, OR 97225
(503) 216-6050
✔ PECOS44 mi
Otolaryngology
NPI 1023368503
1815 SW MARLOW AVE STE 100
Portland, OR 97225
(503) 935-8100
✔ PECOS✔ Accepts Medicare44 mi
Otolaryngology
NPI 1114366424
1003 N PROVIDENCE DR STE 210
Newberg, OR 97132
(503) 537-5620
✔ PECOS✔ Accepts Medicare57 mi
Otolaryngology
NPI 1578669487
1003 PROVIDENCE DR STE 210
Newberg, OR 97132
(503) 537-5620
✔ PECOS✔ Accepts Medicare57 mi
Otolaryngology
NPI 1538514179
104 27TH AVE SE
Puyallup, WA 98374
(253) 770-9000
✔ PECOS✔ Accepts Medicare78 mi

Pulmonary Disease (5 of 7)

Pulmonary Disease
NPI 1801898663
1111 NE 99TH AVE SUITE 200
Portland, OR 97220
(503) 963-3030
✔ PECOS✔ Accepts Medicare45 mi
Pulmonary Disease
NPI 1255441739
1111 NE 99TH AVE STE 200
Portland, OR 97220
(503) 963-3030
✔ PECOS✔ Accepts Medicare45 mi
Pulmonary Disease
NPI 1003808452
1111 NE 99TH AVE STE 200
Portland, OR 97220
(503) 963-3030
✔ PECOS✔ Accepts Medicare45 mi
Pulmonary Disease
NPI 1881986404
1111 NE 99TH AVE STE 200
Portland, OR 97220
(503) 963-3030
✔ PECOS✔ Accepts Medicare45 mi
Pulmonary Disease
NPI 1033164389
1111 NE 99TH AVE STE 200
Portland, OR 97220
(503) 963-3030
✔ PECOS✔ Accepts Medicare45 mi

Physical Medicine and Rehabilitation (4)

Physical Medicine and Rehabilitation
NPI 1215253778
9135 SW BARNES RD STE 461
Portland, OR 97225
(503) 215-8699
✔ PECOS✔ Accepts Medicare44 mi
Physical Medicine and Rehabilitation
NPI 1194136036
5050 NE HOYT ST STE 611
Portland, OR 97213
(503) 215-8699
✔ PECOS✔ Accepts Medicare45 mi
Physical Medicine and Rehabilitation
NPI 1962991133
5050 NE HOYT ST STE 611
Portland, OR 97213
(503) 215-8699
✔ PECOS✔ Accepts Medicare45 mi
Physical Medicine and Rehabilitation
NPI 1184606295
5050 NE HOYT ST STE 353
Portland, OR 97213
(503) 230-2833
✔ PECOS✔ Accepts Medicare45 mi

Plastic and Reconstructive Surgery (4)

Plastic and Reconstructive Surgery
NPI 1417515875
9155 SW BARNES RD STE 238
Portland, OR 97225
(503) 216-6407
✔ PECOS44 mi
Plastic and Reconstructive Surgery
NPI 1922255322
9155 SW BARNES RD STE 238
Portland, OR 97225
(503) 216-6407
✔ PECOS✔ Accepts Medicare44 mi
Plastic and Reconstructive Surgery
NPI 1710140215
3303 SW BOND AVE STE 5
Portland, OR 97239
(503) 494-6687
✔ PECOS✔ Accepts Medicare45 mi
Plastic and Reconstructive Surgery
NPI 1366785313
875 OAK ST SE STE 4060
Salem, OR 97301
(503) 561-7000
✔ PECOS✔ Accepts Medicare83 mi

Maxillofacial Surgery (3)

Maxillofacial Surgery
NPI 1043537707
1849 NW KEARNEY ST SUITE 300
Portland, OR 97209
(503) 224-1371
✔ PECOS43 mi
Maxillofacial Surgery
NPI 1043415870
1849 NW KEARNEY ST SUITE 300
Portland, OR 97209
(503) 224-1371
✔ PECOS43 mi
Maxillofacial Surgery
NPI 1992704878
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-3053
✔ PECOS✔ Accepts Medicare44 mi

Chiropractic (2)

Chiropractic
NPI 1760538011
9155 SW BARNES RD STE 238
Portland, OR 97225
(503) 216-0246
✔ Accepts Medicare44 mi
Chiropractic
NPI 1518919851
801 NE 28TH AVE
Portland, OR 97232
(503) 281-4997
✔ Accepts Medicare44 mi

Critical Care (Intensivists) (2 of 8)

Critical Care (Intensivists)
NPI 1659834281
9205 SW BARNES RD
Portland, OR 97225
(503) 216-3194
✔ PECOS✔ Accepts Medicare44 mi
Critical Care (Intensivists)
NPI 1780082263
9205 SW BARNES RD
Portland, OR 97225
(503) 216-3194
✔ PECOS✔ Accepts Medicare44 mi

Hematology (2 of 3)

Hematology
NPI 1063767317
9135 SW BARNES RD STE 261
Portland, OR 97225
(503) 216-6300
✔ PECOS✔ Accepts Medicare44 mi
Hematology
NPI 1912343807
1500 DIVISION ST STE 220
Oregon City, OR 97045
(503) 513-1900
✔ PECOS✔ Accepts Medicare56 mi

Interventional Radiology (2)

Interventional Radiology
NPI 1225104599
9205 SW BARNES RD
Portland, OR 97225
(503) 216-4830
✔ PECOS✔ Accepts Medicare44 mi
Interventional Radiology
NPI 1114423787
9205 SW BARNES RD
Portland, OR 97225
(503) 216-4830
✔ PECOS✔ Accepts Medicare44 mi

Podiatry (2)

Podiatry
NPI 1073609640
16316 BRYANT RD
Lake Oswego, OR 97035
(503) 699-8220
✔ PECOS✔ Accepts Medicare51 mi
Podiatry
NPI 1801266861
311 B AVE STE S
Lake Oswego, OR 97034
(503) 804-7579
✔ PECOS✔ Accepts Medicare51 mi

Qualified Audiologist (2)

Qualified Audiologist
NPI 1164393583
9135 SW BARNES RD STE 561
Portland, OR 97225
(206) 825-9654
44 mi
Qualified Audiologist
NPI 1013798099
9135 SW BARNES RD STE 561
Portland, OR 97225
(503) 216-2339
44 mi

Surgical Oncology (2)

Surgical Oncology
NPI 1720208556
9155 SW BARNES RD STE 238
Portland, OR 97225
(503) 216-6407
✔ PECOS✔ Accepts Medicare44 mi
Surgical Oncology
NPI 1336415140
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-8650
✔ PECOS✔ Accepts Medicare44 mi

Addiction Medicine (1)

Addiction Medicine
NPI 1770651200
5251 NE GLISAN ST BLDG A, 2ND FLOOR
Portland, OR 97213
(503) 215-4860
✔ PECOS✔ Accepts Medicare45 mi

Cardiac Surgery (1)

Cardiac Surgery
NPI 1821148644
9427 SW BARNES RD STE 593
Portland, OR 97225
(503) 216-8670
✔ PECOS✔ Accepts Medicare44 mi

Colorectal Surgery (Proctology) (1)

Colorectal Surgery (Proctology)
NPI 1710970892
4805 NE GLISAN ST SUITE 6N60
Portland, OR 97213
(503) 281-0561
✔ PECOS✔ Accepts Medicare44 mi

Dentist (1)

Dentist
NPI 1710730601
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-1676
✔ PECOS✔ Accepts Medicare44 mi

Nephrology (1)

Nephrology
NPI 1770702839
9155 SW BARNES RD STE 330
Portland, OR 97225
(503) 772-1174
✔ PECOS✔ Accepts Medicare44 mi

Oral Medicinist (1)

Oral Medicinist
NPI 1063655967
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-1676
✔ PECOS✔ Accepts Medicare44 mi

Orofacial Pain (1)

Orofacial Pain
NPI 1477786499
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-1676
✔ PECOS✔ Accepts Medicare44 mi

Preventive Medicine (1)

Preventive Medicine
NPI 1417191081
4805 NE GLISAN ST STE 6N50
Portland, OR 97213
(503) 215-7901
✔ PECOS✔ Accepts Medicare44 mi

Urology (1)

Urology
NPI 1891782868
9427 SW BARNES RD STE 395
Portland, OR 97225
(503) 216-6050
✔ PECOS44 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Providence Health & Services Oregon appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

Nearest 250. The totals and specialty counts cover all 1,560 clinicians. The list shows the 250 whose practice address is closest to this NPI's location, so each Providence Health & Services Oregon location shows its own nearest clinicians.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.