Gayle L Shears (NPI# 1093140550, PAC ID# 1557597390) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1093140550 |
| PAC ID by PECOS | 1557597390 |
| Professional Enrollment ID | I20170524002345 |
| Full Name | Gayle L Shears |
| Organization Legal Name | LEGACY CLINICS LLC |
| Address |
3 Monroe Pkwy Suite X Lake Oswego OR 97035-8875 |
| Phone Number | 5036793748 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0244144004 |
| Number of Group Practice Members | 466 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9361 Se 82nd Ave, Happy Valley, OR 97086-3645 | 5034574301 | LEGACY CLINICS LLC |
| 3 Monroe Pkwy, Suite X, Lake Oswego, OR 97035-8875 | 5036793748 | LEGACY CLINICS LLC |
| 1130 Nw 22nd Ave, Portland, OR 97210-2934 | LEGACY CLINICS LLC | |
| 3505 N Williams Ave, Portland, OR 97227-1437 | 5033964950 | LEGACY CLINICS LLC |
| Organization Legal Name | LEGACY CLINICS LLC |
| Physicians | 495 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elana Underwood Scharff | Nurse Practitioner | Legacy Clinics LLC | 25050 Se Stark St, Suite 265, Gresham, OR 97030-3388 |
| Jonathan Parker | Physician Assistant | Legacy Clinics LLC | 2870 Sw Cedar Hills Blvd, Beaverton, OR 97005-1354 |
| Patricia Funk | Internal Medicine | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Eric Austin Jordan Nash | Nurse Practitioner | Legacy Clinics LLC | 3425 Se 192nd Ave, Suite 106, Vancouver, WA 98683-1440 |
| Amany Bashir | Family Medicine | Legacy Clinics LLC | 8329 Sw Bverton Hills Hwy, Portland, OR 97225-2215 |
| Theresa Rene Jones | Physician Assistant | Legacy Clinics LLC | 22262 Ne Glisan St, Gresham, OR 97030-8553 |
| Sean Robert Schulz | Family Medicine | Legacy Clinics LLC | 36860 Industrial Way, Sandy, OR 97055-7371 |
| Lucas J Martin | Physician Assistant | Legacy Clinics LLC | 305 Se Chkalov Dr, Suite 170, Vancouver, WA 98683-5292 |
| Aaron W Spaugy | Internal Medicine | Legacy Clinics LLC | 1015 Nw22nd Ave, Suite 34, Portland, OR 97210-3025 |
| Kristen G Shaffer | Nurse Practitioner | Legacy Clinics LLC | 9361 Se 82nd Ave, Happy Valley, OR 97086-3645 |
| Street Address |
3 MONROE PKWY SUITE X |
| City | LAKE OSWEGO |
| State | OR |
| Zip | 97035-8875 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Lea Ferguson | Physician Assistant | Legacy Clinics LLC | 3 Monroe Pkwy, Suite X, Lake Oswego, OR 97035-8875 |
| Jessica A Barbosa | Physician Assistant | Legacy Clinics LLC | 3 Monroe Pkwy, Suite X, Lake Oswego, OR 97035-8875 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marla M Klein | Dermatology | 5200 Sw Meadows Rd, Suite 250, Lake Oswego, OR 97035-0066 | |
| Cynthia S Steinhauser | Clinical Social Worker | 11830 Kerr Pkwy, Suite 370, Lake Oswego, OR 97035-1228 | |
| Dominique Marguerite | Psychologist, Clinical | 22 Botticelli St, Lake Oswego, OR 97035-1303 | |
| Tierney Newman | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Colleen A Finnegan | Internal Medicine | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Devn Brown | Physical Therapy | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Herbert H Lim | Family Medicine | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Mary Beth Brown | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Muthoni K Ehmann | Physician Assistant | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Jessica A Nicoud | Registered Dietitian Or Nutrition Professional | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Find all physicians in zip 97035 | |||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAKE OSWEGO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Gayle L Shears.
| 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.