Conley J Lynch (NPI# 1336157916, PAC ID# 9638118185) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1336157916 |
| PAC ID by PECOS | 9638118185 |
| Professional Enrollment ID | I20100201000579 |
| Full Name | Conley J Lynch |
| Organization Legal Name | MAPLE STREET CLINIC, PC |
| Address |
1825 Maple St Forest Grove OR 97116-1939 |
| Phone Number | 5033572136 |
| Gender | M |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1658369459 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380021 | TUALITY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1825 Maple St, Forest Grove, OR 97116-1939 | 5033572136 | MAPLE STREET CLINIC, PC |
| Organization Legal Name | MAPLE STREET CLINIC, PC |
| Physicians | 1 |
| Street Address |
1825 MAPLE ST |
| City | FOREST GROVE |
| State | OR |
| Zip | 97116-1939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara M Panther-gibby | Clinical Psychologist | 1911 Mt View Ln, Suite 500, Forest Grove, OR 97116 | |
| Tracy M Waters | Clinical Social Worker | 2031 Hawthorne St, Suite C 2, Forest Grove, OR 97116-1700 | |
| Beth T Kinoshita | Optometry | Pacific University | 2043 College Way, Forest Grove, OR 97116-1756 |
| Scott D Klemens | Optometry | Pacific University | 2043 College Way, Forest Grove, OR 97116-1756 |
| Joshua David Shinoda | Optometry | Pacific University | 2043 College Way, Forest Grove, OR 97116-1756 |
| William J Hefner | Optometry | Pacific University | 2043 College Way, Forest Grove, OR 97116-1756 |
| Chunming Liu | Optometry | Pacific University | 2043 College Way, Forest Grove, OR 97116-1756 |
| Hannah Shinoda | Optometry | Pacific University | 2043 College Way, Forest Grove, OR 97116-1756 |
| Amiee S Ho | Optometry | Pacific University | 2043 College Way, Forest Grove, OR 97116-1756 |
| Suzanne T Zamberlan | Optometry | Pacific University | 2043 College Way, Forest Grove, OR 97116-1756 |
| Find all physicians in zip 97116 | |||
| City | FOREST GROVE |
| Zip Code | 97116 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | FOREST GROVE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Conley J Lynch.
| 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.