Jeffrey Christopher La Rochelle (NPI# 1306006457, PAC ID# 3476626904) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1306006457 |
| PAC ID by PECOS | 3476626904 |
| Professional Enrollment ID | I20090917000382 |
| Full Name | Jeffrey Christopher La Rochelle |
| Organization Legal Name | NORTHWEST UROLOGY LLC |
| Address |
2230 Nw Pettygrove Suite 210 Portland OR 97210-2659 |
| Phone Number | 5032236223 |
| Gender | M |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2002 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 2668783770 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380017 | LEGACY GOOD SAMARITAN MEDICAL CENTER |
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| 380037 | PROVIDENCE NEWBERG MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 | 5032236223 | NORTHWEST UROLOGY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 95% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 93% |
| Organization Legal Name | NORTHWEST UROLOGY LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Staneck | Urology | Northwest Urology LLC | 2435 Ne Cumulus Ave E, Mcminnville, OR 97128-8805 |
| Brian S Shaffer | Urology | Northwest Urology LLC | 9135 Sw Barnes Rd, Suite 663, Portland, OR 97225-6683 |
| Sasha Courand Druskin | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| James F Tycast | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| James M Bresee | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| Stanley A Myers | Urology | Northwest Urology LLC | 1000 Se Tech Ctr Dr, Suite 120, Vancouver, WA 98683-5548 |
| Sara E Spettel Aliyar | Urology | Northwest Urology LLC | 9135 Sw Barnes Rd, Suite 663, Portland, OR 97225-6683 |
| Daniel M Janoff | Urology | Northwest Urology LLC | 9135 Sw Barnes Rd, Suite 663, Portland, OR 97225-6683 |
| Michael T Lavelle Jr. | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| Jennifer Botelho | Physician Assistant | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| Street Address |
2230 NW PETTYGROVE SUITE 210 |
| City | PORTLAND |
| State | OR |
| Zip | 97210-2659 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sasha Courand Druskin | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| James F Tycast | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| James M Bresee | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| Michael T Lavelle Jr. | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| Jennifer Botelho | Physician Assistant | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| David B Lashley | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Portland, OR 97210-2659 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Brown | Clinical Psychologist | 2134 Nw Aspen Ave, Portland, OR 97210-1217 | |
| Megan A Banker | Chiropractic | 2232 Nw Pettygrove St, Suite 110, Portland, OR 97210-2372 | |
| Gail F Ott | Chiropractic | Megan Banker Dc PC | 2232 Nw Pettygrove St, Suite 110, Portland, OR 97210-2372 |
| Carol Stimpson Christensen | Clinical Social Worker | 2520 Nw Upshur St, Portland, OR 97210-2550 | |
| Laurence W Christensen | Clinical Psychologist | 2520 Nw Upshur St, Portland, OR 97210-2550 | |
| Karen B Kelsall | Chiropractic | 1615 Nw23rd Ave, Suite 2, Portland, OR 97210-2563 | |
| Anthony U Weber | Chiropractic | Kelsall Chiropractic Clinic PC | 1615 Nw23rd Ave, Portland, OR 97210-2563 |
| Tony Farrenkopf | Psychologist, Clinical | 2256 Nw Pettygrove St, Portland, OR 97210-2608 | |
| Kimberly Michiko Nakayama | Qualified Audiologist | Northwest Ear Institute PC | 2230 Nw Pettygrove St, Suite 120, Portland, OR 97210-2659 |
| Rebecca J Robb Hicks | Psychologist, Clinical | Dahra Perkins Md PC | 2230 Nw Pettygrove St, Suite 110, Portland, OR 97210-2659 |
| Find all physicians in zip 97210 | |||
| City | PORTLAND |
| Zip Code | 97210 |
| Specialty | UROLOGY |
| City + Specialty | PORTLAND + UROLOGY |
Please comment or provide details below to improve the information on Jeffrey Christopher La Rochelle.
| 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.