Kathleen R Ponsford (NPI# 1053548669, PAC ID# 2365596699) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1053548669 |
| PAC ID by PECOS | 2365596699 |
| Professional Enrollment ID | I20090820000284 |
| Full Name | Kathleen R Ponsford |
| Organization Legal Name | LEGACY CLINICS LLC |
| Address |
8013 Ne 6th Ave Vancouver WA 98665-8108 |
| Phone Number | 3607874151 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0244144004 |
| Number of Group Practice Members | 466 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13009 Ne Hwy 99, Suite 109, Vancouver, WA 98686-2307 | 3606675840 | LEGACY CLINICS LLC |
| 305 Se Chkalov Dr, Suite 170, Vancouver, WA 98683-5292 | 3607993912 | LEGACY CLINICS LLC |
| 3425 Se 192nd Ave, Suite 106, Vancouver, WA 98683-1440 | 3602052960 | LEGACY CLINICS LLC |
| 8013 Ne 6th Ave, Vancouver, WA 98665-8108 | 3607874151 | 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 |
8013 NE 6TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip | 98665-8108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Curran | Physician Assistant | Legacy Clinics LLC | 8013 Ne 6th Ave, Vancouver, WA 98665-8108 |
| Michele L Stowe | Physician Assistant | Legacy Clinics LLC | 8013 Ne 6th Ave, Vancouver, WA 98665-8108 |
| Shung L Nip | Physician Assistant | Legacy Clinics LLC | 8013 Ne 6th Ave, Vancouver, WA 98665-8108 |
| Richard R Dalessandro | Physician Assistant | Legacy Clinics LLC | 8013 Ne 6th Ave, Vancouver, WA 98665-8108 |
| Jasmine E Johnson | Physician Assistant | Legacy Clinics LLC | 8013 Ne 6th Ave, Vancouver, WA 98665-8108 |
| Vee S Yoong | Physician Assistant | Legacy Clinics LLC | 8013 Ne 6th Ave, Vancouver, WA 98665-8108 |
| Emily R Rogalette | Physician Assistant | Legacy Clinics LLC | 8013 Ne 6th Ave, Vancouver, WA 98665-8108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Skylar Threasa Tharp | Psychologist, Clinical | Senior Psychology LLC | 7514 Ne 13th Ave, Vancouver, WA 98665-0458 |
| Shawn P Brittain | Optometry | 7017 Ne Hwy 99, Suite 202, Vancouver, WA 98665-0553 | |
| Julie M Peterson | Nurse Practitioner | Cowlitz Indian Tribe | 7700 Ne 26th Ave, Cowlitz Indian Tribal Health Services, Vancouver, WA 98665-0672 |
| James T Lentz | Optometry | 6720 Ne 84th St, Vancouver, WA 98665-2016 | |
| Christina A Trautman | Physical Therapy | Therapeutic Associates Inc | 318 Ne 99th St B, Vancouver, WA 98665-5902 |
| Hope A Hampton | Physical Therapy | Therapeutic Associates Inc | 318 Ne 99th St B, Vancouver, WA 98665-5902 |
| Jennifer Rose | Clinical Social Worker | Rehab Specialties LLC | 9803 Ne Hazel Dell Ave, Vancouver, WA 98665-8035 |
| Aaron T Gillespie | Chiropractic | 7604 Ne 5th Ave, Suite 109, Vancouver, WA 98665-8200 | |
| Jason L Polk | Chiropractic | Core Life Pllc | 7604 Ne 5th Ave, Suite 109, Vancouver, WA 98665-8200 |
| Larry A Bain | Chiropractic | 7612 Ne Hazel Dell Ave, Vancouver, WA 98665-8224 | |
| Find all physicians in zip 98665 | |||
| City | VANCOUVER |
| Zip Code | 98665 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | VANCOUVER + PHYSICIAN ASSISTANT |
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| 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.