Deryk M Zinser (NPI# 1336371517, PAC ID# 1456507888) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1336371517 |
| PAC ID by PECOS | 1456507888 |
| Professional Enrollment ID | I20120905000493 |
| Full Name | Deryk M Zinser |
| Organization Legal Name | LEGACY CLINICS LLC |
| Address |
36860 Industrial Way Sandy OR 97055-7371 |
| Phone Number | 5036684117 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0244144004 |
| Number of Group Practice Members | 466 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380025 | LEGACY MOUNT HOOD MEDICAL CENTER |
| 380060 | ADVENTIST MEDICAL CENTER |
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 36860 Industrial Way, Sandy, OR 97055-7371 | 5036684117 | 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 |
36860 INDUSTRIAL WAY |
| City | SANDY |
| State | OR |
| Zip | 97055-7371 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean Robert Schulz | Family Medicine | Legacy Clinics LLC | 36860 Industrial Way, Sandy, OR 97055-7371 |
| Jay P Brown | Internal Medicine | Legacy Clinics LLC | 36860 Industrial Way, Sandy, OR 97055-7371 |
| Eric E Swiridoff | Family Medicine | Legacy Clinics LLC | 36860 Industrial Way, Sandy, OR 97055-7371 |
| Viktoriya D Monroe | Hospitalist | Legacy Clinics LLC | 36860 Industrial Way, Sandy, OR 97055-7371 |
| Abigail Vautrain | Internal Medicine | Legacy Clinics LLC | 36860 Industrial Way, Sandy, OR 97055-7371 |
| Marie J Budesa | Family Medicine | Legacy Clinics LLC | 36860 Industrial Way, Sandy, OR 97055-7371 |
| Mindy S Harrington | Nurse Practitioner | Legacy Clinics LLC | 36860 Industrial Way, Sandy, OR 97055-7371 |
| Stephen F Nicholson | Family Practice | Legacy Clinics LLC | 36860 Industrial Way, Sandy, OR 97055-7371 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy P Monnie | Physical Therapy | 16621 Champion Way, Suite 100, Sandy, OR 97055-7258 | |
| Jennifer L Stevens | Physical Therapy | Nancy P Monnie PC | 16621 Champion Way, Sandy, OR 97055-7258 |
| Melanie Schafer | Family Medicine | Clackamas County | 37400 Bell St, Sandy, OR 97055-7868 |
| Trevor J Haynes | Podiatry | 39400 Pioneer Blvd, Suite 4, Sandy, OR 97055-8000 | |
| Robert W Geister | Podiatry | Robert W Geister and Associates Inc | 39400 Pioneer Blvd, Suite 4, Sandy, OR 97055-8000 |
| James L Born | Psychologist, Clinical | 38740 Proctor Blvd, Sandy, OR 97055-8030 | |
| Murl L Silvey | Psychologist, Clinical | 38740 Proctor Blvd, Sandy, OR 97055-8030 | |
| Cheryl Ann Calcagno | Nurse Practitioner | Clackamas County | 38872 Proctor Blvd, Sandy, OR 97055-8035 |
| Nicole Kathryn Webber | Nurse Practitioner | Clackamas County | 38872 Proctor Blvd, Sandy, OR 97055-8035 |
| Karen G Hedden | Nurse Practitioner | Clackamas County | 38872 Proctor Blvd, Sandy, OR 97055-8035 |
| Find all physicians in zip 97055 | |||
| City | SANDY |
| Zip Code | 97055 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SANDY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Deryk M Zinser.
| 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.