Sandra Iloka (NPI# 1114311222, PAC ID# 3971812108) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114311222 |
| PAC ID by PECOS | 3971812108 |
| Professional Enrollment ID | I20180920001959 |
| Full Name | Sandra Iloka |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Address |
16770 Sw Edy Rd 102 Pmg Sherwood Imed Cr Sherwood OR 97140-9679 |
| Phone Number | 5032169600 |
| Gender | F |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648183608 |
| Number of Group Practice Members | 1163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380037 | PROVIDENCE NEWBERG MEDICAL CENTER |
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1321 Ne 99th Ave, 200 Gateway Fam and Com Me, Portland, OR 97220-9439 | 5032154250 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 | 5032169600 | 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 |
| 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 |
| Andrew S Tang | Physical Medicine and Rehabilitation | Providence Health and Services Oregon | 827 Spring St, Medford, OR 97504-6104 |
| Street Address |
16770 SW EDY RD 102 PMG SHERWOOD IMED CR |
| City | SHERWOOD |
| State | OR |
| Zip | 97140-9679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claire E Hull | Physician Assistant | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Patricia Millan | Family Medicine | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Johannah J Lutz | Physician Assistant | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Annette M Schweiger Fischer | Family Medicine | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Laurie Chern | Family Medicine | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Elena Styles | Family Medicine | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Dominic Richard Prime | Psychologist, Clinical | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Richa Tevatia | Pediatric Medicine | Providence Health and Services Oregon | 16770 Sw Edy Rd, Sherwood, OR 97140-9679 |
| Jaime N Stewart | Physician Assistant | Providence Health and Services Oregon | 16770 Sw Edy Rd, Sherwood, OR 97140-9679 |
| Sarah Dang | Nurse Practitioner | Providence Health and Services - Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis Beasley | Chiropractic | 16771 Sw 12th St, Suite E, Sherwood, OR 97140-6024 | |
| Mari Ward | Optometry | Abc Optometric PC | 20661 Sw Roy Rogers Rd, Suite 503, Sherwood, OR 97140-9277 |
| Shane M Durando | Physical Therapy | Therapeutic Associates Inc | 20055 Sw Pacific Hwy, Suite 110, Sherwood, OR 97140-9294 |
| Timothy D Hubbard | Chiropractic | 20055 Sw Pacific Hwy, Suite 210, Sherwood, OR 97140-9294 | |
| Nancy A Macy | Nurse Practitioner | 20015 Sw Pacific Hwy 221, Sherwood, OR 97140-9316 | |
| Maggie K Yu | Family Practice | Sherwood Family Medicine PC | 20015 Sw Pacific Hwy, Suite 300, Sherwood, OR 97140-9316 |
| Melisa L Abesa | Physical Therapy | Stratos Group LLC | 20510 Sw Roy Rogers Rd, Suite 120, Sherwood, OR 97140-9320 |
| Matthew Weissbach | Physical Therapy | Stratos Group LLC | 20510 Sw Roy Rogers Rd, Suite 120, Sherwood, OR 97140-9320 |
| Matthew Lyle Whitaker | Physical Therapy | Stratos Group LLC | 20510 Sw Roy Rogers Rd, Suite 120, Sherwood, OR 97140-9320 |
| Gary J Jansen | Chiropractic | 22021 Se Sherwood Blvd, Sherwood, OR 97140-9327 | |
| Find all physicians in zip 97140 | |||
| City | SHERWOOD |
| Zip Code | 97140 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SHERWOOD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Sandra Iloka.
| 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.