Patricia D Widenoja (NPI# 1235110628, PAC ID# 2668619222) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235110628 |
| PAC ID by PECOS | 2668619222 |
| Professional Enrollment ID | I20151120002320 |
| Full Name | Patricia D Widenoja |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Address |
110 Ctr Ave Molalla OR 97038-8134 |
| Phone Number | 5038292273 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648183608 |
| Number of Group Practice Members | 1163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 380038 | PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 110 Ctr Ave, Molalla, OR 97038-8134 | 5038292273 | PROVIDENCE HEALTH AND SERVICES OREGON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Physicians | 1491 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yeong Paul Park | Physical Therapy | Providence Health and Services Oregon | 1627 Woods Ct, Prov Gorg Spi/spo M, Hood River, OR 97031-2915 |
| Traci Ackron | Family Medicine | Providence Health and Services Oregon | 909 Sw 18th Ave, Prov Med Gr Spor Car, Portland, OR 97205-1705 |
| Tierney Newman | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Angie R Cronin | Psychologist, Clinical | Providence Health and Services Oregon | 1332 S Shasta Ave, Suite A, Eagle Point, OR 97524-8623 |
| Jennifer N Herr | Nurse Practitioner | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Jaecelle Guadiz Galeniece | Family Medicine | Providence Health and Services Oregon | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 |
| Amelia H Baker | Family Medicine | Providence Health and Services Oregon | 4920 N Interstate Ave, Portland, OR 97217-3653 |
| Sandra Iloka | Family Medicine | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Duy Quang Tran | Family Medicine | Providence Health and Services Oregon | 839 Ne Holladay St, Portland, OR 97232-3521 |
| Steven Vorenkamp | Orthopedic Surgery | Providence Health and Services Oregon | 814 13th St, Hood River, OR 97031-1210 |
| Street Address |
110 CTR AVE |
| City | MOLALLA |
| State | OR |
| Zip | 97038-8134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan C Dix | Psychologist, Clinical | Providence Health and Services Oregon | 110 Ctr Ave, Molalla, OR 97038-8134 |
| Amelie M Wegner | Family Medicine | Providence Health and Services Oregon | 110 Ctr Ave, Molalla, OR 97038-8134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lena M Armas | Physical Therapy | 111 W Main St, Molalla, OR 97038-8133 | |
| Carole K Martin | Chiropractic | Robinson Chiropractic Clinic, P.C. | 317 N Molalla Ave, Molalla, OR 97038-8840 |
| Dale W Robinson | Chiropractic | Robinson Chiropractic Clinic, P.C. | 317 N Molalla Ave, Molalla, OR 97038-8840 |
| Anna M Grohs | Clinical Social Worker | 217 N Molalla Ave, Molalla, OR 97038-8841 | |
| Sabrina Frolov | Chiropractic | 207 S Molalla Ave, Molalla, OR 97038-9119 | |
| Jay W Walker | Optometry | Molalla Vision Clinic PC | 502 E Main St, Molalla, OR 97038-9148 |
| Amrita Kang | Optometry | Molalla Vision Clinic PC | 502 E Main St, Molalla, OR 97038-9148 |
| Shandra D Greig | Family Medicine | Rodney E. Orr, Md, P.c | 861 W Main St, Molalla, OR 97038-9352 |
| Alicia E Knecht | Nurse Practitioner | Rodney E. Orr, Md, P.c | 861 W Main St, Molalla, OR 97038-9352 |
| Crystal H Kohistani | Physician Assistant | Urgent Care Oregon LLC | 861 W Main St, Molalla Urgent Care, Molalla, OR 97038-9352 |
| Find all physicians in zip 97038 | |||
| City | MOLALLA |
| Zip Code | 97038 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MOLALLA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Patricia D Widenoja.
| 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.