Gwen Patricia Smith (NPI# 1366988149, PAC ID# 2961764006) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1366988149 |
PAC ID by PECOS | 2961764006 |
Professional Enrollment ID | I20180329001178 |
Full Name | Gwen Patricia Smith |
Organization Legal Name | MARQUIS COMPANIES I, INC |
Address |
4560 Se International Way Suite 100 Milwaukie OR 97222-4628 |
Phone Number | 9712065200 |
Gender | F |
Graduation Year | 2008 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5092622993 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
380050 | SKY LAKES MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 | 9712065200 | MARQUIS COMPANIES I, INC |
Organization Legal Name | MARQUIS COMPANIES I, INC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy M Tierney | Geriatric Medicine | Marquis Companies I, Inc | 4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 |
Kerry L Obrien | Nurse Practitioner | Marquis Companies I, Inc | 4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 |
Nancy L Flowers | Nurse Practitioner | Marquis Companies I, Inc | 4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 |
Swapna Chennareddygari | Internal Medicine | Marquis Companies I, Inc | 4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 |
Joanne L Miracle | Nurse Practitioner | Marquis Companies I, Inc | 4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 |
Street Address |
4560 SE INTERNATIONAL WAY SUITE 100 |
City | MILWAUKIE |
State | OR |
Zip | 97222-4628 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy M Tierney | Geriatric Medicine | Marquis Companies I, Inc | 4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 |
Kerry L Obrien | Nurse Practitioner | Marquis Companies I, Inc | 4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 |
Nancy L Flowers | Nurse Practitioner | Marquis Companies I, Inc | 4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 |
Swapna Chennareddygari | Internal Medicine | Marquis Companies I, Inc | 4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 |
Joanne L Miracle | Nurse Practitioner | Marquis Companies I, Inc | 4560 Se International Way, Suite 100, Milwaukie, OR 97222-4628 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brian Sims | Chiropractic | Scsm Inc | 4370 Se King Rd, Suite 220, Milwaukie, OR 97222-1611 |
Dokken H Ramey | Chiropractic | Scsm Inc | 4370 Se King Rd, Suite 220, Milwaukie, OR 97222-1611 |
Tricia L Tollenaar | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates Northwest LLC | 6400 Se Lake Rd, Suite 130, Portland, OR 97222-2129 |
David C Hatch | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates Northwest LLC | 6400 Se Lake Rd, Suite 130, Portland, OR 97222-2129 |
Jill M Thomas | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates Northwest LLC | 6400 Se Lake Rd, Suite 130, Portland, OR 97222-2129 |
Landon N Sessions | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates Northwest LLC | 6400 Se Lake Rd, Suite 130, Portland, OR 97222-2129 |
Andrew J Gould | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates Northwest LLC | 6400 Se Lake Rd, Suite 130, Portland, OR 97222-2129 |
Matthew T Sugalski | Orthopedic Surgery | 6542 Se Lake Rd, Suite 201, Milwaukie, OR 97222-2138 | |
Sarah L Landrey | Psychologist, Clinical | Cornerstone Clinical Services PC | 6400 Se Lake Rd, Suite 325, Milwaukie, OR 97222-2185 |
Daniel B Combs | Psychologist, Clinical | Cornerstone Clinical Services PC | 6400 Se Lake Rd, Suite 325, Milwaukie, OR 97222-2185 |
Find all physicians in zip 97222 |
City | MILWAUKIE |
Zip Code | 97222 |
Specialty | NURSE PRACTITIONER |
City + Specialty | MILWAUKIE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Gwen Patricia Smith.
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.