Kenneth L Reckard (NPI# 1083635916, PAC ID# 4688699085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1083635916 |
| PAC ID by PECOS | 4688699085 |
| Professional Enrollment ID | I20051013000722 |
| Full Name | Kenneth L Reckard |
| Organization Legal Name | OREGON CLINIC PC |
| Address |
19250 Sw 90th Ave Tualatin OR 97062-7585 |
| Phone Number | 5036923750 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2860390408 |
| Number of Group Practice Members | 280 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380037 | PROVIDENCE NEWBERG MEDICAL CENTER |
| 380071 | WILLAMETTE VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1003 Providence Dr, Newberg, OR 97132-7524 | OREGON CLINIC PC | |
| 879 Providence Dr, Newberg, OR 97132-7563 | 5036923750 | OREGON CLINIC PC |
| 5050 Ne Hoyt, Suite 655, Portland, OR 97213-2990 | 5032396673 | OREGON CLINIC PC |
| 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 5036923750 | OREGON CLINIC PC |
| Organization Legal Name | OREGON CLINIC PC |
| Physicians | 299 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael H Bourne | Pulmonary Disease | Oregon Clinic PC | 879 Providence Dr, Newberg, OR 97132-7563 |
| Jin Hee Kim | Urology | Oregon Clinic PC | 19250 Sw 65th Ave, Tualatin, OR 97062-7745 |
| Michael Jerome Kaempf | Urology | Oregon Clinic PC | 500n Columbia River Hwy, Saint Helens, OR 97051-1299 |
| Michael Martin Owens | Gastroenterology | Oregon Clinic PC | 9701 Sw Barnes, Suite 300, Portland, OR 97225-6689 |
| Eric Keith Hansen | Radiation Oncology | Oregon Clinic PC | 4805 Ne Glisan Garden Level, Portland, OR 97220 |
| Jeffrey Joseph Weprin | Gastroenterology | Oregon Clinic PC | 18650 Nw Cornell Rd, Suite 212, Hillsboro, OR 97124-9208 |
| Lorraine W Gohman | Physician Assistant | Oregon Clinic PC | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Pamela Dawn Voltz | Physician Assistant | Oregon Clinic PC | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Alyssa Marie O'brien | Registered Dietitian Or Nutrition Professional | Oregon Clinic PC | 1508 Division St, Suite 15, Oregon City, OR 97045-1583 |
| Chun-yang Chang | Gastroenterology | Oregon Clinic PC | 1508 Division St, Suite 15, Oregon City, OR 97045-1583 |
| Street Address |
19250 SW 90TH AVE |
| City | TUALATIN |
| State | OR |
| Zip | 97062-7585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandre Elizibeth Piersol | Nurse Practitioner | Oregon Clinic PC | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 |
| Stephanie Cherie Moore | Registered Dietitian Or Nutrition Professional | Oregon Clinic PC | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 |
| Jeffrey Matthew Douglass | Internal Medicine | Oregon Clinic PC | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 |
| Molly A Beilby | Physician Assistant | Oregon Clinic PC | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Wung Hong Yee | Hematology/oncology | University Professional Services | 19260 Sw 65th Ave, Suite 140, Tualatin, OR 97062-5703 |
| Lisa M Cowan | Physician Assistant | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Darin J Steblaj | Physician Assistant | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Timothy L Keenen | Orthopedic Surgery | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Nicole Celeste Foster | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 280, Tualatin, OR 97062-5708 |
| Ruchi J Wanchoo | Neurology | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 280, Tualatin, OR 97062-5708 |
| Charlotte A Haws | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 400, Tualatin, OR 97062-5712 |
| Arielle E Radelet | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 400, Tualatin, OR 97062-5712 |
| Dale G Campbell | Clinical Social Worker | 22100 Sw Grahams Ferry Rd, Tualatin, OR 97062-6993 | |
| Clayton Michael Smiley | Nephrology | Northwest Renal Clinic Inc | 8050 Sw Warm Springs St, Suite 150, Tualatin, OR 97062-7422 |
| Find all physicians in zip 97062 | |||
| City | TUALATIN |
| Zip Code | 97062 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TUALATIN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kenneth L Reckard.
| 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.