Shana Gittle Kusin (NPI# 1750575239, PAC ID# 0749459188) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1750575239 |
| PAC ID by PECOS | 0749459188 |
| Professional Enrollment ID | I20110801000880 |
| Full Name | Shana Gittle Kusin |
| Organization Legal Name | PORTLAND ADVENTIST MEDICAL CENTER |
| Address |
10123 Se Market St Portland OR 97216-2532 |
| Phone Number | 5032572500 |
| Gender | F |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7012827876 |
| Number of Group Practice Members | 196 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380009 | OHSU HOSPITAL |
| 380060 | ADVENTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10123 Se Market St, Portland, OR 97216-2532 | 5032572500 | PORTLAND ADVENTIST MEDICAL CENTER |
| Organization Legal Name | PORTLAND ADVENTIST MEDICAL CENTER |
| Physicians | 159 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Abraham Feldman | Interventional Cardiology | Portland Adventist Medical Center | 2700 Se Stratus Ave, Unit 406, Mcminnville, OR 97128-6258 |
| Valerie Warner Lanham | Clinical Social Worker | Portland Adventist Medical Center | 10201 Se Main St, Suite 29, Portland, OR 97216-2937 |
| Tamara M Wostal | Nurse Practitioner | Portland Adventist Medical Center | 1350 Ne 122nd Ave, Suite 200, Portland, OR 97230-2011 |
| Cory V Carlston | Hand Surgery | Portland Adventist Medical Center | 10000 Se Main St, Suite 224, Portland, OR 97216-2469 |
| Derek Nathan Anderson | Family Medicine | Portland Adventist Medical Center | 19220 Mcloughlin Blvd, Gladstone, OR 97027-2642 |
| Angela V Lewis | Physician Assistant | Portland Adventist Medical Center | 14450 Se Royer Rd, Damascus, OR 97089-8730 |
| Christopher M Love | Family Medicine | Portland Adventist Medical Center | 17055 Ruben Ln, Sandy, OR 97055-9276 |
| Anong Y Moua | Family Practice | Portland Adventist Medical Center | 13021 Se River Rd, 3000 Adventist Health Medical Group Willamette View, Portland, OR 97222-8028 |
| William C Chapin | Endocrinology | Portland Adventist Medical Center | 10101 Se Main St, Suite 1001, Portland, OR 97216-2456 |
| Larry L Moffett | Family Medicine | Portland Adventist Medical Center | 11211 Se Sunnyside Rd, Clackamas, OR 97015-7787 |
| Street Address |
10123 SE MARKET ST |
| City | PORTLAND |
| State | OR |
| Zip | 97216-2532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrienne E Soucy | Hospitalist | South Sound Inpatient Physicians Pllc | 10123 Se Market St, Portland, OR 97216-2532 |
| Jessica Slim | Emergency Medicine | Portland Adventist Medical Center | 10123 Se Market St, Portland, OR 97216-2532 |
| Donald E Giles | General Surgery | Portland Adventist Medical Center | 10123 Se Market St, Portland, OR 97216-2532 |
| Anna Beth Acree | Nurse Practitioner | Portland Adventist Medical Center | 10123 Se Market St, Portland, OR 97216-2532 |
| Marcus A Chiodo | Emergency Medicine | Portland Adventist Medical Center | 10123 Se Market St, Portland, OR 97216-2532 |
| Karen Ta | Emergency Medicine | Portland Adventist Medical Center | 10123 Se Market St, Portland, OR 97216-2532 |
| Rhonda A Brown | Hospitalist | South Sound Inpatient Physicians Pllc | 10123 Se Market St, Portland, OR 97216-2532 |
| Alex Amanda Barnes-rickett | Hospitalist | Portland Adventist Medical Center | 10123 Se Market St, Portland, OR 97216-2532 |
| Jeffrey F Boskind | Thoracic Surgery | Portland Adventist Medical Center | 10123 Se Market St, Portland, OR 97216-2532 |
| Robert Scott Israel | Diagnostic Radiology | Diagnostic Radiologists PC | 10123 Se Market St, Portland, OR 97216-2532 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen E Murray | Clinical Social Worker | 8514 Se Stark St, Kit Murray Lcsw, Portland, OR 97216-1140 | |
| Brian C Toogood | Physical Therapy | Ch Physical Therapy LLC | 1034 Se 96th Ave, Portland, OR 97216-1150 |
| Julie Mcallister | Physical Therapy | Cascade 205 Orthopedic and Sports Physical Therapy, PC | 9260 Se Stark St, Suite B, Portland, OR 97216-1675 |
| Katie M Kuykendall | Physical Therapy | Cascade 205 Orthopedic and Sports Physical Therapy, PC | 9260 Se Stark St, Suite B, Portland, OR 97216-1675 |
| Mariel Hammond | Physical Therapy | Cascade 205 Orthopedic and Sports Physical Therapy, PC | 9260 Se Stark St, Suite B, Portland, OR 97216-1675 |
| Istvan Takacs | Physical Therapy | Cascade 205 Orthopedic and Sports Physical Therapy, PC | 9260 Se Stark St, Suite B, Portland, OR 97216-1675 |
| Thuyet V Tran | Internal Medicine | 2448 Se 89th Ave, Suite 1, Portland, OR 97216-2052 | |
| Sam Q Nguyen | Physician Assistant | Tran Biz Inc | 2448 Se 89th Ave, Suite 1, Portland, OR 97216-2052 |
| Claudia S Dogan Coles | Physician Assistant | Tran Biz Inc | 2448 Se 89th Ave, Suite 1, Portland, OR 97216-2052 |
| Amber Moulton | Physician Assistant | Tran Biz Inc | 2448 Se 89th Ave, Portland, OR 97216-2052 |
| Find all physicians in zip 97216 | |||
| City | PORTLAND |
| Zip Code | 97216 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | PORTLAND + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Shana Gittle Kusin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.