Ethan B Collier (NPI# 1740365238, PAC ID# 6800830076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1740365238 |
| PAC ID by PECOS | 6800830076 |
| Professional Enrollment ID | I20050617000776 |
| Full Name | Ethan B Collier |
| Organization Legal Name | CLACKAMAS SPORTSCARE LLC |
| Address |
10121 Se Sunnyside Rd Suite 208 Clackamas OR 97015-5750 |
| Phone Number | 5034272956 |
| Gender | M |
| Credential | PT |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2264476431 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10121 Se Sunnyside Rd, Suite 208, Clackamas, OR 97015-5750 | 5034272956 | CLACKAMAS SPORTSCARE LLC |
| Organization Legal Name | CLACKAMAS SPORTSCARE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob A Schneller | Physical Therapy | Clackamas Sportscare LLC | 10121 Se Sunnyside Rd, Suite 208, Clackamas, OR 97015-5750 |
| Street Address |
10121 SE SUNNYSIDE RD SUITE 208 |
| City | CLACKAMAS |
| State | OR |
| Zip | 97015-5750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maxwell L Mckinney | Physical Therapy | Armworks Hand Therapy LLC | 10121 Se Sunnyside Rd, Suite 208, Clackamas, OR 97015-5750 |
| Jacob A Schneller | Physical Therapy | Clackamas Sportscare LLC | 10121 Se Sunnyside Rd, Suite 208, Clackamas, OR 97015-5750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terrence A Sedgewick | Orthopedic Surgery | Premere Rehab LLC | 11520 Se Sunnyside Rd, Miramont Pointe, Clackamas, OR 97015-4306 |
| Dayna Lynn Bailey | Speech Language Pathologist | Premere Rehab LLC | 11520 Se Sunnyside Rd, Clackamas, OR 97015-4306 |
| Claire M Mysliwy | Physical Therapy | Premere Rehab LLC | 11520 Se Sunnyside Rd, Miramont Pointe, Clackamas, OR 97015-4306 |
| Guadalupe C Gabba | Nurse Practitioner | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Cheryl A Chessick | Psychiatry | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Kathryn N Schwartz | Clinical Social Worker | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Rory E Green | Psychiatry | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Mara M Christensen | Clinical Social Worker | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Seema A Dewani | Psychiatry | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Erin M Wallace | Psychiatry | Kaiser Foundation Health Plan of The Northwest | 10163 Se Sunnyside Rd, Suite 490, Clackamas, OR 97015-5720 |
| Find all physicians in zip 97015 | |||
| City | CLACKAMAS |
| Zip Code | 97015 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CLACKAMAS + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Ethan B Collier.
| 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.