Briana J Mejia (NPI# 1063678720, PAC ID# 0648317958) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1063678720 |
| PAC ID by PECOS | 0648317958 |
| Professional Enrollment ID | I20120319000551 |
| Full Name | Briana J Mejia |
| Organization Legal Name | THE WALLACE MEDICAL CONCERN |
| Address |
254 Nw Burnside Rd Gresham OR 97030-3836 |
| Phone Number | 5034891760 |
| Gender | F |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2365680865 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381317 | TILLAMOOK REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 254 Nw Burnside Rd, Gresham, OR 97030-3836 | 5034891760 | THE WALLACE MEDICAL CONCERN |
| 124 Ne 181st Ave, Suite 103, Portland, OR 97230-6565 | 5034891760 | THE WALLACE MEDICAL CONCERN |
| 124 Ne 181st Ave, Portland, OR 97230-6565 | 5034891760 | THE WALLACE MEDICAL CONCERN |
| Organization Legal Name | THE WALLACE MEDICAL CONCERN |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori-ann Lima | Nurse Practitioner | The Wallace Medical Concern | 254 Nw Burnside Rd, Gresham, OR 97030-3836 |
| Julia A Frey | Physician Assistant | The Wallace Medical Concern | 124 Ne 181st Ave, Suite 103, Portland, OR 97230-6565 |
| April D Urquidez | Nurse Practitioner | The Wallace Medical Concern | 254 Nw Burnside Rd, Gresham, OR 97030-3836 |
| Annie H Chisholm | Nurse Practitioner | The Wallace Medical Concern | 254 Nw Burnside Rd, Gresham, OR 97030-3836 |
| Mary Wells | Nurse Practitioner | The Wallace Medical Concern | 124 Ne 181st Ave, Suite 103, Portland, OR 97230-6565 |
| Bethany Stairs I | Nurse Practitioner | The Wallace Medical Concern | 124 Ne 181st Ave, Suite 103, Portland, OR 97230-6565 |
| Angela Kern | Nurse Practitioner | The Wallace Medical Concern | 124 Ne 181st Ave, Suite 103, Portland, OR 97230-6565 |
| Katherine T Bucciantini | Nurse Practitioner | The Wallace Medical Concern | 124 Ne 181st Ave, Suite 103, Portland, OR 97230-6565 |
| Thomas S Stewart | Nurse Practitioner | The Wallace Medical Concern | 124 Ne 181st Ave, Suite 103, Portland, OR 97230-6565 |
| Street Address |
254 NW BURNSIDE RD |
| City | GRESHAM |
| State | OR |
| Zip | 97030-3836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori-ann Lima | Nurse Practitioner | The Wallace Medical Concern | 254 Nw Burnside Rd, Gresham, OR 97030-3836 |
| April D Urquidez | Nurse Practitioner | The Wallace Medical Concern | 254 Nw Burnside Rd, Gresham, OR 97030-3836 |
| Annie H Chisholm | Nurse Practitioner | The Wallace Medical Concern | 254 Nw Burnside Rd, Gresham, OR 97030-3836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne T Daly | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| David A Pierce | Family Medicine | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Agnes White | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Jaclyn Jones | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Elizabeth Claire Yiu | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Emma Moore | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Mary Jepson | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Amanda Cort | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| John L Strauss | Chiropractic | 620 Se 223rd Ave, Gresham, OR 97030-2510 | |
| Mark A George | Optometry | 22640 Se Stark St, Gresham, OR 97030-2684 | |
| Find all physicians in zip 97030 | |||
| City | GRESHAM |
| Zip Code | 97030 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | GRESHAM + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Briana J Mejia.
| 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.