Kristin Stevens (NPI# 1689690737, PAC ID# 5890822027) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1689690737 |
| PAC ID by PECOS | 5890822027 |
| Professional Enrollment ID | I20100420001009 |
| Full Name | Kristin Stevens |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Address |
417 Sw 117th Ave Portland OR 97225-5924 |
| Gender | F |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0648183608 |
| Number of Group Practice Members | 1163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 417 Sw 117th Ave, Portland, OR 97225-5924 | PROVIDENCE HEALTH AND SERVICES OREGON | |
| 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 5032161234 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 9205 Sw Barnes Rd, Suite 495, Portland, OR 97225-6603 | 5032161182 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 9205 Sw Barnes Rd Mt, 2800 Prov Med Gr St Vince, Portland, OR 97225-6603 | 5032162621 | 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 |
| Sandra Iloka | Family Medicine | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| 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 |
| Street Address |
417 SW 117TH AVE |
| City | PORTLAND |
| State | OR |
| Zip | 97225-5924 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa S Turner | Dermatology | Providence Health and Services Oregon | 417 Sw 117th Ave, Portland, OR 97225-5924 |
| Ellen Priscilla S Bautista | Family Medicine | Providence Health and Services Oregon | 417 Sw 117th Ave, Portland, OR 97225-5924 |
| Cindi N Chapman | Dermatology | Providence Health and Services Oregon | 417 Sw 117th Ave, Portland, OR 97225-5924 |
| Amy S Frankel | Dermatology | Providence Health and Services Oregon | 417 Sw 117th Ave, Portland, OR 97225-5924 |
| Jonathan Ryan Fordyce | Nurse Practitioner | Providence Health and Services Oregon | 417 Sw 117th Ave, Suite 100, Portland, OR 97225-5924 |
| Lisa Ann Seung | Physician Assistant | Providence Health and Services Oregon | 417 Sw 117th Ave, Portland, OR 97225-5924 |
| Megan L Mudrick | Family Medicine | Providence Health and Services Oregon | 417 Sw 117th Ave, Portland, OR 97225-5924 |
| Richard Tsai | Internal Medicine | Providence Health and Services Oregon | 417 Sw 117th Ave, Portland, OR 97225-5924 |
| Victorya V Khary | Internal Medicine | Providence Health and Services Oregon | 417 Sw 117th Ave, Portland, OR 97225-5924 |
| Karen A Ballard | Nurse Practitioner | Providence Health and Services Oregon | 417 Sw 117th Ave, Portland, OR 97225-5924 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robyn L Finseth | Chiropractic | 4850 Sw Scholls Ferry Rd, Suite 205, Portland, OR 97225-1692 | |
| Ayla Jade Himmelsbach | Optometry | Nimbus Vision Clinic, LLC | 8566 Sw Apple Way, Portland, OR 97225-1772 |
| Mary A Domm | Chiropractic | 8550 Sw Apple Way, Portland, OR 97225-1772 | |
| David J Mcbride | Optometry | Nimbus Vision Clinic, LLC | 8566 Sw Apple Way, Portland, OR 97225-1772 |
| Jeffrey E Devine | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Christine Rose Adriano Walty | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Ronald E Pacheco | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Barry D Shulak | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Robert D Peek | Optometry | 5045 Sw 77th Ave, Portland, OR 97225-1812 | |
| William F Mcbride | Family Medicine | 4475 Sw Scholls Ferry Rd, Suite 150, Portland, OR 97225-1957 | |
| Find all physicians in zip 97225 | |||
| City | PORTLAND |
| Zip Code | 97225 |
| Specialty | DERMATOLOGY |
| City + Specialty | PORTLAND + DERMATOLOGY |
Please comment or provide details below to improve the information on Kristin Stevens.
| 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.