Mikeanne Minter
LEGACY CLINICS LLC


Address: 1130 Nw 22nd Ave, Suite 220, Portland, OR 97210-2969
Phone: 5034138988

Mikeanne Minter (NPI# 1053376715, PAC ID# 8921019126) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1053376715
PAC ID by PECOS 8921019126
Professional Enrollment ID I20060602000138
Full Name Mikeanne Minter
Organization Legal Name LEGACY CLINICS LLC
Address 1130 Nw 22nd Ave
Suite 220
Portland
OR 97210-2969
Phone Number 5034138988
Gender F
Credential MD
Medical School UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year 2000
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 0244144004
Number of Group Practice Members 466
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380017 LEGACY GOOD SAMARITAN MEDICAL CENTER
380007 LEGACY EMANUEL MEDICAL CENTER

Other Locations

Address Phone Organization
1130 Nw 22nd Ave, Suite 220, Portland, OR 97210-2969 5034138988 LEGACY CLINICS LLC

Organization Information

Organization Legal Name LEGACY CLINICS LLC
Physicians 495

Physicians with the same organization

Name Specialty Organization Address
Elana Underwood Scharff Nurse Practitioner Legacy Clinics LLC 25050 Se Stark St, Suite 265, Gresham, OR 97030-3388
Jonathan Parker Physician Assistant Legacy Clinics LLC 2870 Sw Cedar Hills Blvd, Beaverton, OR 97005-1354
Patricia Funk Internal Medicine Legacy Clinics LLC 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706
Eric Austin Jordan Nash Nurse Practitioner Legacy Clinics LLC 3425 Se 192nd Ave, Suite 106, Vancouver, WA 98683-1440
Amany Bashir Family Medicine Legacy Clinics LLC 8329 Sw Bverton Hills Hwy, Portland, OR 97225-2215
Gayle L Shears Physician Assistant Legacy Clinics LLC 3 Monroe Pkwy, Suite X, Lake Oswego, OR 97035-8875
Theresa Rene Jones Physician Assistant Legacy Clinics LLC 22262 Ne Glisan St, Gresham, OR 97030-8553
Sean Robert Schulz Family Medicine Legacy Clinics LLC 36860 Industrial Way, Sandy, OR 97055-7371
Lucas J Martin Physician Assistant Legacy Clinics LLC 305 Se Chkalov Dr, Suite 170, Vancouver, WA 98683-5292
Aaron W Spaugy Internal Medicine Legacy Clinics LLC 1015 Nw22nd Ave, Suite 34, Portland, OR 97210-3025

Office Location

Street Address 1130 NW 22ND AVE
SUITE 220
City PORTLAND
State OR
Zip 97210-2969

Physicians in the same location

Name Specialty Organization Address
Bert G Tavelli Dermatology 1130 Nw 22nd Ave, Suite 330, Portland, OR 97210-2970
Kishoree J Patel Internal Medicine Legacy Clinics LLC 1130 Nw 22nd Ave, Portland, OR 97210-2934
Apurva Pandey Hematology/oncology University Professional Services 1130 Nw 22nd Ave, Suite 150, Portland, OR 97210-2900
Joy A Rothschild Nurse Practitioner Women's Healthcare Associates LLC 1130 Nw 22nd Ave, Suite 520, Portland, OR 97210-2976
Brandy Masters Carpenter Nurse Practitioner Legacy Good Samaritan Hospital and Medical Center 1130 Nw 22nd Ave, Suite 120, Portland, OR 97210-2934
Leslie M Steed Nephrology Northwest Renal Clinic Inc 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2993
Mark W Sands Internal Medicine Legacy Clinics LLC 1130 Nw 22nd Ave, Portland, OR 97210-2934
Michelle D Degeest Obstetrics/gynecology Legacy Clinics LLC 1130 Nw 22nd Ave, Portland, OR 97210-2934
Aura Theresa B De Olazo Internal Medicine Legacy Clinics LLC 1130 Nw 22nd Ave, Portland, OR 97210-2934
Lewis L Low Critical Care (intensivists) Legacy Clinics LLC 1130 Nw 22nd Ave, Portland, OR 97210-2934
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Physicians in the same zip code

Name Specialty Organization Address
Paul G Brown Clinical Psychologist 2134 Nw Aspen Ave, Portland, OR 97210-1217
Megan A Banker Chiropractic 2232 Nw Pettygrove St, Suite 110, Portland, OR 97210-2372
Gail F Ott Chiropractic Megan Banker Dc PC 2232 Nw Pettygrove St, Suite 110, Portland, OR 97210-2372
Carol Stimpson Christensen Clinical Social Worker 2520 Nw Upshur St, Portland, OR 97210-2550
Laurence W Christensen Clinical Psychologist 2520 Nw Upshur St, Portland, OR 97210-2550
Karen B Kelsall Chiropractic 1615 Nw23rd Ave, Suite 2, Portland, OR 97210-2563
Anthony U Weber Chiropractic Kelsall Chiropractic Clinic PC 1615 Nw23rd Ave, Portland, OR 97210-2563
Tony Farrenkopf Psychologist, Clinical 2256 Nw Pettygrove St, Portland, OR 97210-2608
Kimberly Michiko Nakayama Qualified Audiologist Northwest Ear Institute PC 2230 Nw Pettygrove St, Suite 120, Portland, OR 97210-2659
Jeffrey Christopher La Rochelle Urology Northwest Urology LLC 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659
Find all physicians in zip 97210

Competitor

Search similar physicians

City PORTLAND
Zip Code 97210
Specialty INTERNAL MEDICINE
City + Specialty PORTLAND + INTERNAL MEDICINE

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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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