Christopher R Eilersen (NPI# 1700853652, PAC ID# 7618968793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700853652 |
| PAC ID by PECOS | 7618968793 |
| Professional Enrollment ID | I20100716000206 |
| Full Name | Christopher R Eilersen |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - OREGON |
| Address |
200 S Hazel Dell Way Suite 210 Canby OR 97013-7828 |
| Phone Number | 5032639550 |
| Gender | M |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5294901922 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380038 | PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER |
| 380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 S Hazel Dell Way, Suite 210, Canby, OR 97013-7828 | 5032639550 | PROVIDENCE HEALTH AND SERVICES - OREGON |
| 1420 John Adams St, Oregon City, OR 97045-1609 | 5036561484 | OREGON CITY FAMILY PRACTICE CLINIC,P.C. |
| 1500 Division St, Oregon City, OR 97045-1527 | 5036561631 | PROVIDENCE HEALTH AND SERVICES - OREGON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - OREGON |
| Physicians | 101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karina M Squire | Nurse Practitioner | Providence Health and Services - Oregon | 171 S Hwy 101, Warrenton, OR 97146-9314 |
| Randy L Sasich | Pulmonary Disease | Providence Health and Services - Oregon | 501 Villa Rd, Newberg, OR 97132-1832 |
| Shelley A Denison | Nurse Practitioner | Providence Health and Services - Oregon | 10140 Sw Park Way, Portland, OR 97225-5008 |
| Allan R Alexander | Family Practice | Providence Health and Services - Oregon | 2100 Ne 139th St, Vancouver, WA 98686-2300 |
| Deborah S Dorst | Nurse Practitioner | Providence Health and Services - Oregon | 6410 Ne Halsey St, Portland, OR 97213-4759 |
| Sharon F Lissman | Hospice/palliative Care | Providence Health and Services - Oregon | 4805 Ne Glisan St, Portland, OR 97213-2933 |
| Shoshawna Rainwater | Clinical Social Worker | Providence Health and Services - Oregon | 10140 Sw Park Way, Portland, OR 97225-5008 |
| Elke P Lowenkopf | Hospice/palliative Care | Providence Health and Services - Oregon | 1500 Division St, Rm 1005, Oregon City, OR 97045-1527 |
| Elise Newman | Hospice/palliative Care | Providence Health and Services - Oregon | 4805 Ne Glisan St, Portland, OR 97213-2933 |
| Talya L Freudmann | Nurse Practitioner | Providence Health and Services - Oregon | 10140 Sw Park Way, Portland, OR 97225-5008 |
| Street Address |
200 S HAZEL DELL WAY SUITE 210 |
| City | CANBY |
| State | OR |
| Zip | 97013-7828 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven James Blackthorne | Emergency Medicine | Providence Health and Services Oregon | 200 S Hazel Dell Way, Prov Med Gr Ca Im Cr, Canby, OR 97013-7829 |
| Elizabeth D Orth | Family Medicine | Providence Health and Services Oregon | 200 S Hazel Dell Way, Prov Med Gr Ca Im Cr, Canby, OR 97013-7829 |
| Kenric B Craver | Physician Assistant | Providence Health and Services Oregon | 200 S Hazel Dell Way, Prov Med Gr Ca Im Cr, Canby, OR 97013-7829 |
| Karen S Parr | Nurse Practitioner | Providence Health and Services Oregon | 200 S Hazel Dell Way, Prov Med Gr Ca Im Cr, Canby, OR 97013-7829 |
| Joseph M Buck | Physician Assistant | Providence Health and Services Oregon | 200 S Hazel Dell Way, Prov Med Gr Ca Im Cr, Canby, OR 97013-7829 |
| Chad R Robinson | Nurse Practitioner | Providence Health and Services Oregon | 200 S Hazel Dell Way, Prov Med Gr Ca Im Cr, Canby, OR 97013-7829 |
| Ami D Kapadia | Family Medicine | Providence Health and Services Oregon | 200 S Hazel Dell Way, Prov Med Gr Ca Im Cr, Canby, OR 97013-7829 |
| Sorin Cadar | Family Medicine | Providence Health and Services Oregon | 200 S Hazel Dell Way, Prov Med Gr Ca Im Cr, Canby, OR 97013-7829 |
| Catherine Bargovan | Physician Assistant | Providence Health and Services Oregon | 200 S Hazel Dell Way, Prov Med Gr Ca Im Cr, Canby, OR 97013-7829 |
| Alexandra C Farnsworth | Nurse Practitioner | Providence Health and Services Oregon | 200 S Hazel Dell Way, Prov Med Gr Ca Im Cr, Canby, OR 97013-7829 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlo Brandon Crumpacker | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 365 S Redwood St, Canby, OR 97013-2405 |
| Mackenzie Bartelli | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 365 S Redwood St, Canby, OR 97013-2405 |
| John Alan Zieg | Optometry | 310 Nw 3rd Ave, Canby Vision Clinic, Canby, OR 97013-3603 | |
| Janae Z Brill | Family Medicine | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Deona L Bridgeman | Family Medicine | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Joanna Anders | Nurse Practitioner | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Daniel Richard Ryan | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Ashley K Mcferron | Optometry | Ashley K Mcferron Od PC | 364 N Ivy St, Canby, OR 97013-3704 |
| Tyler Bohnet | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Elizabeth Ann Henderson | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Find all physicians in zip 97013 | |||
| City | CANBY |
| Zip Code | 97013 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CANBY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Christopher R Eilersen.
| 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.