Mikeanne Minter (NPI# 1053376715, PAC ID# 8921019126) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| 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 |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380017 | LEGACY GOOD SAMARITAN MEDICAL CENTER |
| 380007 | LEGACY EMANUEL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1130 Nw 22nd Ave, Suite 220, Portland, OR 97210-2969 | 5034138988 | LEGACY CLINICS LLC |
| Organization Legal Name | LEGACY CLINICS LLC |
| Physicians | 495 |
| 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 |
| Street Address |
1130 NW 22ND AVE SUITE 220 |
| City | PORTLAND |
| State | OR |
| Zip | 97210-2969 |
| 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 |
| Find all physicians in the same address | |||
| 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 | |||
| City | PORTLAND |
| Zip Code | 97210 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PORTLAND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mikeanne Minter.
| 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.