Maria Ximena Traa Kiely (NPI# 1760776041, PAC ID# 8022332246) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1760776041 |
| PAC ID by PECOS | 8022332246 |
| Professional Enrollment ID | I20180827001869 |
| Full Name | Maria Ximena Traa Kiely |
| Organization Legal Name | OREGON CLINIC PC |
| Address |
4805 Ne Glisan Portland OR 97213-2933 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Group Practice PAC ID | 2860390408 |
| Number of Group Practice Members | 280 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4805 Ne Glisan, Portland, OR 97213-2933 | OREGON CLINIC PC | |
| 5050 Ne Hoyt, Suite 655, Portland, OR 97213-2990 | 5032396673 | OREGON CLINIC PC |
| 9155 Sw Barnes Rd, Suite 735, Portland, OR 97225-6634 | 5032971351 | 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 |
| Kenneth L Reckard | Physician Assistant | Oregon Clinic PC | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 |
| 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 |
| Street Address |
4805 NE GLISAN |
| City | PORTLAND |
| State | OR |
| Zip | 97213-2933 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer N Herr | Nurse Practitioner | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Kirsten L Roberts | Nurse Practitioner | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Eric B Kirker | Thoracic Surgery | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Lorraine W Gohman | Physician Assistant | Oregon Clinic PC | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Julia L Torres | Nurse Practitioner | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Luis Leyton-gonzalez | Internal Medicine | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Brian J Kearns | Hospitalist | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Julia C Swanson-birchill | General Surgery | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Pamela Dawn Voltz | Physician Assistant | Oregon Clinic PC | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Janhavi P Ramanujam | Internal Medicine | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Lewis | Optometry | Beaumont Vision, PC | 4331 Ne Fremont St, Portland, OR 97213-1151 |
| David M Klipper | Diagnostic Radiology | Kern Radiology Medical Group Inc | 4231 Ne Siskiyou St, Portland, OR 97213-1161 |
| Evonne N Serpa | Qualified Audiologist | 4311 Ne Tillamook St, Portland, OR 97213-1315 | |
| Judith J Chambers | Clinical Social Worker | 1804 Ne 45th Ave, Portland, OR 97213-1416 | |
| Diane Squire Hyde | Clinical Social Worker | 1804 Ne 45th Ave, Portland, OR 97213-1416 | |
| Marjorie J Hrbek | Internal Medicine | Broadway Medical Clinic LLP | 4212 Ne Broadway, Portland, OR 97213-1422 |
| Mary Lee Baker | Pediatric Medicine | Broadway Medical Clinic LLP | 4212 Ne Broadway, Portland, OR 97213-1422 |
| Lorelei Elizabeth Ditommaso | Dermatology | Broadway Medical Clinic LLP | 4212 Ne Broadway, Portland, OR 97213-1422 |
| Tracy L Hansen | Internal Medicine | Broadway Medical Clinic LLP | 4212 Ne Broadway, Portland, OR 97213-1422 |
| Anne M Hirsch | Internal Medicine | Broadway Medical Clinic LLP | 4212 Ne Broadway, Portland, OR 97213-1422 |
| Find all physicians in zip 97213 | |||
| City | PORTLAND |
| Zip Code | 97213 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | PORTLAND + COLORECTAL SURGERY (PROCTOLOGY) |
Please comment or provide details below to improve the information on Maria Ximena Traa Kiely.
| 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.