Jessica T Ly (NPI# 1922047356, PAC ID# 1557368529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1922047356 |
| PAC ID by PECOS | 1557368529 |
| Professional Enrollment ID | I20080523000105 |
| Full Name | Jessica T Ly |
| Organization Legal Name | CREEKSIDE MEDICAL PS |
| Address |
900 Ne 139th St Suite 202 Vancouver WA 98685-2513 |
| Phone Number | 3605669355 |
| Gender | F |
| Credential | MD |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 4082683388 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500150 | LEGACY SALMON CREEK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 900 Ne 139th St, Suite 202, Vancouver, WA 98685-2513 | 3605669355 | CREEKSIDE MEDICAL PS |
| Organization Legal Name | CREEKSIDE MEDICAL PS |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Supranee Nopachai | Pediatric Medicine | Creekside Medical Ps | 900 Ne 139th St, Suite 202, Vancouver, WA 98685-2513 |
| Jill A Speaker | Pediatric Medicine | Creekside Medical Ps | 900 Ne 139th St, Vancouver, WA 98685-2513 |
| Matthew Orlando Oxiles | Nurse Practitioner | Creekside Medical Ps | 900 Ne 139th St, Suite 202, Vancouver, WA 98685-2513 |
| Olivia L Jones | Pediatric Medicine | Creekside Medical Ps | 900 Ne 139th St, Suite 202, Vancouver, WA 98685-2513 |
| Rigoberto Acosta | Internal Medicine | Creekside Medical Ps | 900 Ne 139th St, Suite 202, Vancouver, WA 98685-2513 |
| Sergio M Fernandez | Nurse Practitioner | Creekside Medical Ps | 900 Ne 139th St, Suite 202, Vancouver, WA 98685-2513 |
| Jaime Hamilton | Physician Assistant | Creekside Medical Ps | 900 Ne 139th St, Suite 202, Vancouver, WA 98685-2513 |
| Street Address |
900 NE 139TH ST SUITE 202 |
| City | VANCOUVER |
| State | WA |
| Zip | 98685-2513 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel F. L. Bisner | Physical Therapy | Balanced Physical Therapy LLC | 900 Ne 139th St, Suite 102, Vancouver, WA 98685-2519 |
| Supranee Nopachai | Pediatric Medicine | Creekside Medical Ps | 900 Ne 139th St, Suite 202, Vancouver, WA 98685-2513 |
| Kanwaljit Singh Khabra | Physical Therapy | Balanced Physical Therapy LLC | 900 Ne 139th St, Suite 102, Vancouver, WA 98685-2519 |
| Sarah Joanne Tiffany | Physical Therapy | Balanced Physical Therapy LLC | 900 Ne 139th St, Suite 102, Vancouver, WA 98685-2519 |
| Mieke D Lane | Obstetrics/gynecology | Cascadia Womens Clinic LLP | 900 Ne 139th St, Suite 206, Vancouver, WA 98685-2519 |
| Lisa M Gibbons | Obstetrics/gynecology | Cascadia Womens Clinic LLP | 900 Ne 139th St, Suite 206, Vancouver, WA 98685-2519 |
| Suzanne D Slayton Milam | Obstetrics/gynecology | Cascadia Womens Clinic LLP | 900 Ne 139th St, Suite 206, Vancouver, WA 98685-2519 |
| Jill A Speaker | Pediatric Medicine | Creekside Medical Ps | 900 Ne 139th St, Vancouver, WA 98685-2513 |
| Jessica April Kam | Obstetrics/gynecology | Cascadia Womens Clinic LLP | 900 Ne 139th St, Suite 206, Vancouver, WA 98685-2519 |
| Matthew Orlando Oxiles | Nurse Practitioner | Creekside Medical Ps | 900 Ne 139th St, Suite 202, Vancouver, WA 98685-2513 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Lee | Psychologist, Clinical | 13220 Nw 33rd Ave Lower Level, Creative Holistic Counseling, Vancouver, WA 98685-2288 | |
| Olivia L Jones | Pediatric Medicine | Creekside Medical Ps | 900 Ne 139th St, Suite 202, Vancouver, WA 98685-2513 |
| Rigoberto Acosta | Internal Medicine | Creekside Medical Ps | 900 Ne 139th St, Suite 202, Vancouver, WA 98685-2513 |
| Sergio M Fernandez | Nurse Practitioner | Creekside Medical Ps | 900 Ne 139th St, Suite 202, Vancouver, WA 98685-2513 |
| Jaime Hamilton | Physician Assistant | Creekside Medical Ps | 900 Ne 139th St, Suite 202, Vancouver, WA 98685-2513 |
| Derek Brian Fink | Physical Therapy | Balanced Physical Therapy LLC | 900 Ne 139th St, Vancouver, WA 98685-2513 |
| Jessica Leigh Young | Nurse Practitioner | Cascadia Womens Clinic LLP | 900 Ne 139th St, Suite 206, Vancouver, WA 98685-2519 |
| Anna Victoria Potoczny-jones | Physical Therapy | Balanced Physical Therapy LLC | 900 Ne 139th St, Suite 102, Vancouver, WA 98685-2519 |
| Jodi Janelle Decker | Physical Therapy | Balanced Physical Therapy LLC | 900 Ne 139th St, Suite 102, Vancouver, WA 98685-2519 |
| Lisa K Holbrook | Family Practice | Cascadia Womens Clinic LLP | 900 Ne 139th St, Suite 206, Vancouver, WA 98685-2519 |
| Find all physicians in zip 98685 | |||
| City | VANCOUVER |
| Zip Code | 98685 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | VANCOUVER + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Jessica T Ly.
| 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.