Elizabeth U Yutan (NPI# 1366572331, PAC ID# 3577654680) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1366572331 |
| PAC ID by PECOS | 3577654680 |
| Professional Enrollment ID | I20070803000200 |
| Full Name | Elizabeth U Yutan |
| Organization Legal Name | TUALATIN IMAGING PC |
| Address |
19300 Sw 65th Ave Tualatin OR 97062-7706 |
| Phone Number | 5036927447 |
| Gender | F |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 2001 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8123011392 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| 380025 | LEGACY MOUNT HOOD MEDICAL CENTER |
| 380009 | OHSU HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 610 Nw 11th St, Hermiston, OR 97838-6601 | 5416673438 | GOOD SHEPHERD HEALTH CARE SYSTEM |
| 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 5036927447 | TUALATIN IMAGING PC |
| Organization Legal Name | TUALATIN IMAGING PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth T Kutella | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Brian R Mahon | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Alison C Derbes | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| David W Nelson | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Timothy David Kadlecek | Diagnostic Radiology | Tualatin Imaging PC | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Joe Mun-jung Chan | Diagnostic Radiology | Tualatin Imaging PC | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Peter T Beatty | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Meghan Higley | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Robin S Kates | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Stephanie Go | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Street Address |
19300 SW 65TH AVE |
| City | TUALATIN |
| State | OR |
| Zip | 97062-7706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Funk | Internal Medicine | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Tara L Eagle | Critical Care (intensivists) | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Laura L Gaff | Family Medicine | Legacy Meridian Park Hospital | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Dean K Peterson | Internal Medicine | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Paul R Ash | Neurology | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Michael J Zalanka | Psychiatry | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Bryan Putnam | Anesthesiology | Oregon Anesthesiology Group PC | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Vandy L Sherbin | Pulmonary Disease | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Paul R Cieslak | Infectious Disease | Legacy Clinics LLC | 19300 Sw 65th Ave, Meridian Park Hosp, Portland, OR 97062-7706 |
| Srividya Venigalla | Internal Medicine | Legacy Meridian Park Hospital | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Wung Hong Yee | Hematology/oncology | University Professional Services | 19260 Sw 65th Ave, Suite 140, Tualatin, OR 97062-5703 |
| Lisa M Cowan | Physician Assistant | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Darin J Steblaj | Physician Assistant | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Timothy L Keenen | Orthopedic Surgery | Pacific Spine Specialists, LLC | 19260 Sw 65th Ave, Suite 270, Tualatin, OR 97062-5705 |
| Nicole Celeste Foster | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 280, Tualatin, OR 97062-5708 |
| Ruchi J Wanchoo | Neurology | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 280, Tualatin, OR 97062-5708 |
| Charlotte A Haws | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 400, Tualatin, OR 97062-5712 |
| Arielle E Radelet | Physician Assistant | Legacy Clinics LLC | 19260 Sw 65th Ave, Suite 400, Tualatin, OR 97062-5712 |
| Dale G Campbell | Clinical Social Worker | 22100 Sw Grahams Ferry Rd, Tualatin, OR 97062-6993 | |
| Clayton Michael Smiley | Nephrology | Northwest Renal Clinic Inc | 8050 Sw Warm Springs St, Suite 150, Tualatin, OR 97062-7422 |
| Find all physicians in zip 97062 | |||
| City | TUALATIN |
| Zip Code | 97062 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | TUALATIN + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Elizabeth U Yutan.
| 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.