Mary E Kuebrich
PROVIDENCE HEALTH AND SERVICES OREGON


Address: 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-0803
Phone: 5032159900

Mary E Kuebrich (NPI# 1477902617, PAC ID# 5890089635) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1477902617
PAC ID by PECOS 5890089635
Professional Enrollment ID I20160802002300
Full Name Mary E Kuebrich
Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Address 12442 Sw Scholls Ferry Rd
Suite 100
Tigard
OR 97223-0803
Phone Number 5032159900
Gender F
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 0648183608
Number of Group Practice Members 1163
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380061 PROVIDENCE PORTLAND MEDICAL CENTER
380004 PROVIDENCE ST VINCENT MEDICAL CENTER
380082 PROVIDENCE MILWAUKIE HOSPITAL

Other Locations

Address Phone Organization
12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-0803 5032159900 PROVIDENCE HEALTH AND SERVICES OREGON

Organization Information

Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Physicians 1491

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Name Specialty Organization Address
Yeong Paul Park Physical Therapy Providence Health and Services Oregon 1627 Woods Ct, Prov Gorg Spi/spo M, Hood River, OR 97031-2915
Traci Ackron Family Medicine Providence Health and Services Oregon 909 Sw 18th Ave, Prov Med Gr Spor Car, Portland, OR 97205-1705
Tierney Newman Nurse Practitioner Providence Health and Services Oregon 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479
Angie R Cronin Psychologist, Clinical Providence Health and Services Oregon 1332 S Shasta Ave, Suite A, Eagle Point, OR 97524-8623
Jennifer N Herr Nurse Practitioner Providence Health and Services Oregon 4805 Ne Glisan, Portland, OR 97213-2933
Jaecelle Guadiz Galeniece Family Medicine Providence Health and Services Oregon 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521
Amelia H Baker Family Medicine Providence Health and Services Oregon 4920 N Interstate Ave, Portland, OR 97217-3653
Sandra Iloka Family Medicine Providence Health and Services Oregon 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679
Duy Quang Tran Family Medicine Providence Health and Services Oregon 839 Ne Holladay St, Portland, OR 97232-3521
Steven Vorenkamp Orthopedic Surgery Providence Health and Services Oregon 814 13th St, Hood River, OR 97031-1210

Office Location

Street Address 12442 SW SCHOLLS FERRY RD
SUITE 100
City TIGARD
State OR
Zip 97223-0803

Physicians in the same location

Name Specialty Organization Address
Heidi U Ferguson Family Medicine Providence Health and Services Oregon 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-0803
Jacob E Helton Psychologist, Clinical Providence Health and Services Oregon 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-0803
Nanette M Laufik Physician Assistant Providence Health and Services - Oregon 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-0803

Physicians in the same zip code

Name Specialty Organization Address
Quincy Michael Shorthill Physical Therapy 8915 Swnordic Dr, Tigard, OR 97223
Robert L Marrs Clinical Social Worker 7175 Sw Beveland St, Suite 200, Tigard, OR 97223
Halsy J Carter Chiropractic 12700 Sw N Dakota St, 180 Straight Up Chiropractic, Tigard, OR 97223-0802
Evagelia Baros Internal Medicine Providence Health and Services Oregon 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803
Yvonne Howell Physician Assistant Providence Health and Services Oregon 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803
Raghuveer B Shenoy Internal Medicine Providence Health and Services Oregon 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803
Kathryn Marie Lund Nurse Practitioner Providence Health and Services Oregon 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803
Kevin A Brooks Physician Assistant Providence Health and Services Oregon 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803
Kirsten A Holmes Physician Assistant Providence Health and Services Oregon 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803
Erin Michelle Helton Physician Assistant Providence Health and Services Oregon 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803
Find all physicians in zip 97223

Competitor

Search similar physicians

City TIGARD
Zip Code 97223
Specialty NURSE PRACTITIONER
City + Specialty TIGARD + NURSE PRACTITIONER

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Dataset Information

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.

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