David Vitello (NPI# 1811038755, PAC ID# 5799090189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1811038755 |
| PAC ID by PECOS | 5799090189 |
| Professional Enrollment ID | I20151207000630 |
| Full Name | David Vitello |
| Organization Legal Name | NORTHWEST PRIMARY CARE GROUP PC |
| Address |
12119 Se Stevens Ct Happy Valley OR 97086-2620 |
| Phone Number | 5033531278 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244125052 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380009 | OHSU HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 | 5033531278 | NORTHWEST PRIMARY CARE GROUP PC |
| 3033 Se Monroe St, Milwaukie, OR 97222-6636 | 5036594988 | NORTHWEST PRIMARY CARE GROUP PC |
| 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 5034948311 | UNIVERSITY PROFESSIONAL SERVICES |
| Organization Legal Name | NORTHWEST PRIMARY CARE GROUP PC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey C Dart | Family Medicine | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| Anna M Tubman | Family Medicine | Northwest Primary Care Group PC | 6327 Se Milwaukie Ave, Portland, OR 97202-5418 |
| Jennifer D Herber | Family Medicine | Northwest Primary Care Group PC | 3033 Se Monroe St, Milwaukie, OR 97222-6636 |
| Yufei Zhang | Internal Medicine | Northwest Primary Care Group PC | 10024 Se 32nd Ave, Milwaukie, OR 97222-6514 |
| David R Maslen | Internal Medicine | Northwest Primary Care Group PC | 12360 Se Sunnyside Rd, Clackamas, OR 97015-9320 |
| Elizabeth Callaghan | Family Medicine | Northwest Primary Care Group PC | 3033 Se Monroe St, Milwaukie, OR 97222-6636 |
| Moses J Gallegos | Family Medicine | Northwest Primary Care Group PC | 12360 Se Sunnyside Rd, Clackamas, OR 97015-9320 |
| Karen Kuo | Physical Therapy | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| Barry B Rhodes | Family Medicine | Northwest Primary Care Group PC | 12360 Se Sunnyside Rd, Clackamas, OR 97015-9320 |
| Tuan Ngo | Qualified Audiologist | Northwest Primary Care Group PC | 6327 Se Milwaukie Ave, Portland, OR 97202-5418 |
| Street Address |
12119 SE STEVENS CT |
| City | HAPPY VALLEY |
| State | OR |
| Zip | 97086-2620 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| 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 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hoang Q Nguyen | Internal Medicine | Columbia Medical Clinic PC | 9995 Se 82nd Ave, Happy Valley, OR 97086-2301 |
| Kristen G Shaffer | Nurse Practitioner | Legacy Clinics LLC | 9361 Se 82nd Ave, Happy Valley, OR 97086-3645 |
| David J Gahtan | Physician Assistant | Legacy Clinics LLC | 9361 Se 82nd Ave, Happy Valley, OR 97086-3645 |
| Barbara T Troxel | Nurse Practitioner | Joseph P. Stapleton, Md PC | 9300 Se 91st Ave, 400 Portland Pain Care, Happy Valley, OR 97086-3753 |
| Joseph P Stapleton | Interventional Pain Management | Joseph P. Stapleton, Md PC | 9300 Se 91st Ave, 400 Portland Pain Care, Happy Valley, OR 97086-3753 |
| David J Klarberg | Nurse Practitioner | Joseph P. Stapleton, Md PC | 9300 Se 91st Ave, 400 Portland Pain Care, Happy Valley, OR 97086-3753 |
| Cynthia S Weaver | Nurse Practitioner | Joseph P. Stapleton, Md PC | 9300 Se 91st Ave, 400 Portland Pain Care, Happy Valley, OR 97086-3753 |
| Erin S Fitzgerald | Nurse Practitioner | Joseph P. Stapleton, Md PC | 9300 Se 91st Ave, 400 Portland Pain Care, Happy Valley, OR 97086-3753 |
| Tyler S Mittelstaedt | General Surgery | Portland Surgical Specialists PC | 9200 Se 91st Ave, Suite 320, Portland, OR 97086-3756 |
| Alan Craig Thom | Family Medicine | Portland Adventist Medical Center | 9200 Se 91st Ave, Suite 220, Happy Valley, OR 97086-3756 |
| Find all physicians in zip 97086 | |||
| City | HAPPY VALLEY |
| Zip Code | 97086 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HAPPY VALLEY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on David Vitello.
| 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.