Edward Theodore Ysunza Iv (NPI# 1083904015, PAC ID# 6608196019) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1083904015 |
| PAC ID by PECOS | 6608196019 |
| Professional Enrollment ID | I20150527001349 |
| Full Name | Edward Theodore Ysunza Iv |
| Organization Legal Name | LEGACY EMANUEL HOSPITAL AND HEALTH CENTER |
| Address |
2800 N Vancouver Ave Suite 230 Portland OR 97227-1668 |
| Phone Number | 5034134340 |
| Gender | M |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4587573639 |
| Number of Group Practice Members | 157 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380007 | LEGACY EMANUEL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2800 N Vancouver Ave, Suite 230, Portland, OR 97227-1668 | 5034134340 | LEGACY EMANUEL HOSPITAL AND HEALTH CENTER |
| Organization Legal Name | LEGACY EMANUEL HOSPITAL AND HEALTH CENTER |
| Physicians | 112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlin D Mueller | Registered Dietitian Or Nutrition Professional | Legacy Emanuel Hospital and Health Center | 475 S Columbia River Hwy, Suite 100, Saint Helens, OR 97051-2834 |
| Kimberly Anchell | Physician Assistant | Legacy Emanuel Hospital and Health Center | 500 N Columbia Hwy 7, Legacy Urgent Care St Helens, St Helens, OR 97051-1912 |
| Rebecca M Berman | Nurse Practitioner | Legacy Emanuel Hospital and Health Center | 2800 N Vancouver Ave, Suite 230, Portland, OR 97227-1668 |
| Kristine M Simpson | Nurse Practitioner | Legacy Emanuel Hospital and Health Center | 1225 Ne 2nd Ave, Portland, OR 97232-2003 |
| Diana K Boss | Internal Medicine | Legacy Emanuel Hospital and Health Center | 500 N Columbia River Hwy, Suite 6, Saint Helens, OR 97051-1201 |
| Jennifer M Slack | Internal Medicine | Legacy Emanuel Hospital and Health Center | 2801 N Gantenbein Ave, Portland, OR 97227-1623 |
| Jonathan Ryan Floriani | Psychiatry | Legacy Emanuel Hospital and Health Center | 1225 Ne 2nd Ave, Portland, OR 97232-2003 |
| Rodney S Olin | Nurse Practitioner | Legacy Emanuel Hospital and Health Center | 1225 Ne 2nd Ave, Portland, OR 97232-2003 |
| Brandon J Cornejo | Psychiatry | Legacy Emanuel Hospital and Health Center | 1225 Ne 2nd Ave, Portland, OR 97232-2003 |
| Terence Chu | Family Medicine | Legacy Emanuel Hospital and Health Center | 500 N Columbia River Hwy, Suite 6, Saint Helens, OR 97051-1201 |
| Street Address |
2800 N VANCOUVER AVE SUITE 230 |
| City | PORTLAND |
| State | OR |
| Zip | 97227-1668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca M Berman | Nurse Practitioner | Legacy Emanuel Hospital and Health Center | 2800 N Vancouver Ave, Suite 230, Portland, OR 97227-1668 |
| Victoria W Cartwright | Rheumatology | Legacy Emanuel Hospital and Health Center | 2800 N Vancouver Ave, Suite 165, Portland, OR 97227-1644 |
| Christin Trost | Certified Nurse Midwife (cnm) | Legacy Clinics LLC | 2800 N Vancouver Ave, Portland, OR 97227-1630 |
| Wendy S Berger | Certified Nurse Midwife (cnm) | Legacy Clinics LLC | 2800 N Vancouver Ave, Suite 231, Portland, OR 97227-1669 |
| Mark A Gelfand | Plastic and Reconstructive Surgery | Legacy Clinics LLC | 2800 N Vancouver Ave, Suite 118, Portland, OR 97227-1643 |
| Justin T Westbrook | Psychologist, Clinical | Legacy Emanuel Hospital and Health Center | 2800 N Vancouver Ave, Suite 230, Portland, OR 97227-1668 |
| Douglas K Beers | Internal Medicine | Legacy Emanuel Hospital and Health Center | 2800 N Vancouver Ave, Suite 201, Portland, OR 97227-1648 |
| Annie E Johnson | Certified Nurse Midwife | Legacy Clinics LLC | 2800 N Vancouver Ave, Portland, OR 97227-1630 |
| Leila H Mesch | Pediatric Medicine | Legacy Emanuel Hospital and Health Center | 2800 N Vancouver Ave, Suite 165, Portland, OR 97227-1644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura H Smith | Psychologist, Clinical | Kaiser Foundation Health Plan of The Northwest | 3325 N Interstate Ave, Portland, OR 97227-1020 |
| Catherine E Willeford | Registered Dietitian Or Nutrition Professional | Kaiser Foundation Health Plan of The Northwest | 3325n Interstate Ave, Portland, OR 97227-1020 |
| Abraham G Abu | Physician Assistant | Kaiser Foundation Health Plan of The Northwest | 3325 N Interstate Ave, Portland, OR 97227-1020 |
| Lynette S Malik | Physical Medicine and Rehabilitation | Kaiser Foundation Health Plan of The Northwest | 3600 N Interstate Ave, Portland, OR 97227-1106 |
| Jaishanke Nautiyal | Radiation Oncology | Kaiser Foundation Health Plan of The Northwest | 3620 N Interstate Ave, Portland, OR 97227-1106 |
| Catalina Hernandez Torres | Hematology/oncology | Kaiser Foundation Health Plan of The Northwest | 3600 N Interstate Ave, Portland, OR 97227-1106 |
| Patricia A Thoma | Physical Therapy | Kaiser Foundation Health Plan of The Northwest | 3600 N Interstate Ave, Portland, OR 97227-1106 |
| Bill L Borok | Optometry | Kaiser Foundation Health Plan of The Northwest | 3600 N Interstate Ave, Portland, OR 97227-1106 |
| Teresa R Hall | Qualified Audiologist | Kaiser Foundation Health Plan of The Northwest | 3600 N Interstate Ave, Portland, OR 97227-1106 |
| Alexandra C Borok | Optometry | Kaiser Foundation Health Plan of The Northwest | 3600 N Interstate Ave, Portland, OR 97227-1106 |
| Find all physicians in zip 97227 | |||
| City | PORTLAND |
| Zip Code | 97227 |
| Specialty | PODIATRY |
| City + Specialty | PORTLAND + PODIATRY |
Please comment or provide details below to improve the information on Edward Theodore Ysunza Iv.
| 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.