Elizabeth T Kutella (NPI# 1033266853, PAC ID# 1557537867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1033266853 |
| PAC ID by PECOS | 1557537867 |
| Professional Enrollment ID | I20120106000664 |
| Full Name | Elizabeth T Kutella |
| Organization Legal Name | TUALATIN IMAGING PC |
| Address |
24800 Se Stark St Gresham OR 97030-3378 |
| Phone Number | 5036741122 |
| Gender | F |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8123011392 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| 380025 | LEGACY MOUNT HOOD MEDICAL CENTER |
| 381325 | GOOD SHEPHERD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 24800 Se Stark St, Gresham, OR 97030-3378 | 5036741122 | TUALATIN IMAGING PC |
| 610 Nw 11th St, Hermiston, OR 97838-6601 | 5416673438 | GOOD SHEPHERD HEALTH CARE SYSTEM |
| 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 5036927447 | TUALATIN IMAGING PC |
| Organization Legal Name | TUALATIN IMAGING PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian R Mahon | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Elizabeth U Yutan | Diagnostic Radiology | Tualatin Imaging PC | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Alison C Derbes | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| David W Nelson | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Timothy David Kadlecek | Diagnostic Radiology | Tualatin Imaging PC | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Joe Mun-jung Chan | Diagnostic Radiology | Tualatin Imaging PC | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Peter T Beatty | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Meghan Higley | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Robin S Kates | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Stephanie Go | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Street Address |
24800 SE STARK ST |
| City | GRESHAM |
| State | OR |
| Zip | 97030-3378 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emmanuel Tavan | Pulmonary Disease | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Kathrin R Meyers | Internal Medicine | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Elliot Joo | Gastroenterology | Portland Adventist Medical Center | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Michelle Dwulit | Internal Medicine | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Andrew Y Kee | Radiation Oncology | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Sarah A Walter | Pathology | Cascade Pathology Services Corp | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Brian R Mahon | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Ange Mong Ly | Internal Medicine | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Scott D Sonek | Nurse Practitioner | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Fredrick S An | Internal Medicine | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne T Daly | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| David A Pierce | Family Medicine | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Agnes White | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Jaclyn Jones | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Elizabeth Claire Yiu | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Emma Moore | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Mary Jepson | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Amanda Cort | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| John L Strauss | Chiropractic | 620 Se 223rd Ave, Gresham, OR 97030-2510 | |
| Mark A George | Optometry | 22640 Se Stark St, Gresham, OR 97030-2684 | |
| Find all physicians in zip 97030 | |||
| City | GRESHAM |
| Zip Code | 97030 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GRESHAM + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Elizabeth T Kutella.
| 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.