Kirstie Lauren Wilson-panum (NPI# 1386910818, PAC ID# 2769630011) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1386910818 |
| PAC ID by PECOS | 2769630011 |
| Professional Enrollment ID | I20150903002766 |
| Full Name | Kirstie Lauren Wilson-panum |
| Organization Legal Name | OREGON CLINIC PC |
| Address |
501 N Graham St Suite 420 Portland OR 97227-2006 |
| Phone Number | 5032887303 |
| Gender | F |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 2860390408 |
| Number of Group Practice Members | 280 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380007 | LEGACY EMANUEL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 501 N Graham St, Suite 420, Portland, OR 97227-2006 | 5032887303 | OREGON CLINIC PC |
| Organization Legal Name | OREGON CLINIC PC |
| Physicians | 299 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael H Bourne | Pulmonary Disease | Oregon Clinic PC | 879 Providence Dr, Newberg, OR 97132-7563 |
| Jin Hee Kim | Urology | Oregon Clinic PC | 19250 Sw 65th Ave, Tualatin, OR 97062-7745 |
| Michael Jerome Kaempf | Urology | Oregon Clinic PC | 500n Columbia River Hwy, Saint Helens, OR 97051-1299 |
| Michael Martin Owens | Gastroenterology | Oregon Clinic PC | 9701 Sw Barnes, Suite 300, Portland, OR 97225-6689 |
| Eric Keith Hansen | Radiation Oncology | Oregon Clinic PC | 4805 Ne Glisan Garden Level, Portland, OR 97220 |
| Jeffrey Joseph Weprin | Gastroenterology | Oregon Clinic PC | 18650 Nw Cornell Rd, Suite 212, Hillsboro, OR 97124-9208 |
| Kenneth L Reckard | Physician Assistant | Oregon Clinic PC | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 |
| Lorraine W Gohman | Physician Assistant | Oregon Clinic PC | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Pamela Dawn Voltz | Physician Assistant | Oregon Clinic PC | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Alyssa Marie O'brien | Registered Dietitian Or Nutrition Professional | Oregon Clinic PC | 1508 Division St, Suite 15, Oregon City, OR 97045-1583 |
| Street Address |
501 N GRAHAM ST SUITE 420 |
| City | PORTLAND |
| State | OR |
| Zip | 97227-2006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaymee Delaney | Internal Medicine | 501 N Graham St, Suite 445, Portland, OR 97227-2002 | |
| Eric L Pacini | Cardiovascular Disease (cardiology) | Legacy Clinics LLC | 501 N Graham St, Suite 200, Portland, OR 97227-2000 |
| Wiley S Mccreedy | Physician Assistant | Northwest Neurosurgical Associates LLC | 501 N Graham St, Suite 445, Portland, OR 97227-2002 |
| Sharon Su | Undefined Physician Type (specify) | Legacy Emanuel Hospital and Health Center | 501 N Graham St, Suite 355, Portland, OR 97227-2005 |
| Douglas N Beaman | Orthopedic Surgery | 501 N Graham St, Suite 250, Portland, OR 97227-1651 | |
| Joyce J Lee | Pediatric Medicine | Legacy Emanuel Hospital and Health Center | 501 N Graham St, Suite 355, Portland, OR 97227-2005 |
| Elizabeth A North | Neurology | 501 N Graham St, Suite 515, Portland, OR 97227-2003 | |
| Christopher Joseph Ginocchio | Neurology | 501 N Graham St, Suite 515, Portland, OR 97227-2003 | |
| Richard R Gellman | Orthopedic Surgery | 501 N Graham St, Suite 250, Portland, OR 97227-1651 | |
| Kent M Grewe | Neurosurgery | 501 N Graham St, Suite 545, Portland, OR 97227-2003 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura H Smith | Psychologist, Clinical | Kaiser Foundation Health Plan of The Northwest | 3325 N Interstate Ave, Portland, OR 97227-1020 |
| Catherine E Willeford | Registered Dietitian Or Nutrition Professional | Kaiser Foundation Health Plan of The Northwest | 3325n Interstate Ave, Portland, OR 97227-1020 |
| Abraham G Abu | Physician Assistant | Kaiser Foundation Health Plan of The Northwest | 3325 N Interstate Ave, Portland, OR 97227-1020 |
| Lynette S Malik | Physical Medicine and Rehabilitation | Kaiser Foundation Health Plan of The Northwest | 3600 N Interstate Ave, Portland, OR 97227-1106 |
| Jaishanke Nautiyal | Radiation Oncology | Kaiser Foundation Health Plan of The Northwest | 3620 N Interstate Ave, Portland, OR 97227-1106 |
| Catalina Hernandez Torres | Hematology/oncology | Kaiser Foundation Health Plan of The Northwest | 3600 N Interstate Ave, Portland, OR 97227-1106 |
| Patricia A Thoma | Physical Therapy | Kaiser Foundation Health Plan of The Northwest | 3600 N Interstate Ave, Portland, OR 97227-1106 |
| Bill L Borok | Optometry | Kaiser Foundation Health Plan of The Northwest | 3600 N Interstate Ave, Portland, OR 97227-1106 |
| Teresa R Hall | Qualified Audiologist | Kaiser Foundation Health Plan of The Northwest | 3600 N Interstate Ave, Portland, OR 97227-1106 |
| Alexandra C Borok | Optometry | Kaiser Foundation Health Plan of The Northwest | 3600 N Interstate Ave, Portland, OR 97227-1106 |
| Find all physicians in zip 97227 | |||
| City | PORTLAND |
| Zip Code | 97227 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | PORTLAND + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Kirstie Lauren Wilson-panum.
| 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.