Bret A Provost (NPI# 1528093556, PAC ID# 4284653775) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1528093556 |
| PAC ID by PECOS | 4284653775 |
| Professional Enrollment ID | I20051114000996 |
| Full Name | Bret A Provost |
| Address |
9201 Se 91st Ave Ste130 River City Eyecare Clackamas OR 97086-3760 |
| Gender | M |
| Credential | OD |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2005 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9201 Se 91st Ave, Ste130 River City Eyecare, Clackamas, OR 97086-3760 | ||
| 4000 Ne Sandy Blvd, Portland, OR 97212-5326 |
| Street Address |
9201 SE 91ST AVE STE130 RIVER CITY EYECARE |
| City | CLACKAMAS |
| State | OR |
| Zip | 97086-3760 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie L Breeden | Optometry | River City Eyecare, LLC | 9201 Se 91st Ave, Ste130 River City Eyecare, Clackamas, OR 97086-3760 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hoang Q Nguyen | Internal Medicine | Columbia Medical Clinic PC | 9995 Se 82nd Ave, Happy Valley, OR 97086-2301 |
| Jeffrey C Dart | Family Medicine | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| Karen Kuo | Physical Therapy | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| Sharon E Mcneill | Family Medicine | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| David Vitello | Nurse Practitioner | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| Kristin Sentman Bendert | Family Medicine | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| Eric D Brown | Physical Therapy | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| Melissa Thompson | Physician Assistant | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| Cathy Stores | Physical Therapy | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| Kristen G Shaffer | Nurse Practitioner | Legacy Clinics LLC | 9361 Se 82nd Ave, Happy Valley, OR 97086-3645 |
| Find all physicians in zip 97086 | |||
| City | CLACKAMAS |
| Zip Code | 97086 |
| Specialty | OPTOMETRY |
| City + Specialty | CLACKAMAS + OPTOMETRY |
Please comment or provide details below to improve the information on Bret A Provost.
| 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.