Eric L Hanson (NPI# 1740259035, PAC ID# 7315959848) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1740259035 |
PAC ID by PECOS | 7315959848 |
Professional Enrollment ID | I20060626000223 |
Full Name | Eric L Hanson |
Organization Legal Name | KNOTT STREET DERMATOLOGY PC |
Address |
301 Ne Knott St Portland OR 97212-3014 |
Phone Number | 5032533910 |
Gender | M |
Credential | MD |
Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1994 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 8325050859 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
301 Ne Knott St, Portland, OR 97212-3014 | 5032533910 | KNOTT STREET DERMATOLOGY PC |
Organization Legal Name | KNOTT STREET DERMATOLOGY PC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Courtney L Vesely | Nurse Practitioner | Knott Street Dermatology PC | 301 Ne Knott St, Portland, OR 97212-3014 |
Craig R Schultz | Nurse Practitioner | Knott Street Dermatology PC | 301 Ne Knott St, Portland, OR 97212-3014 |
Mara Christine Limoncelli | Physician Assistant | Knott Street Dermatology PC | 301 Ne Knott St, Portland, OR 97212-3014 |
Street Address |
301 NE KNOTT ST |
City | PORTLAND |
State | OR |
Zip | 97212-3014 |
Name | Specialty | Organization | Address |
---|---|---|---|
Courtney L Vesely | Nurse Practitioner | Knott Street Dermatology PC | 301 Ne Knott St, Portland, OR 97212-3014 |
Craig R Schultz | Nurse Practitioner | Knott Street Dermatology PC | 301 Ne Knott St, Portland, OR 97212-3014 |
Mara Christine Limoncelli | Physician Assistant | Knott Street Dermatology PC | 301 Ne Knott St, Portland, OR 97212-3014 |
Name | Specialty | Organization | Address |
---|---|---|---|
Catherine E Kirkman | Physical Therapy | Therapeutic Associates Inc | 4040 Ne Fremont St, Portland, OR 97212-1952 |
Caroline Hutcherson | Physical Therapy | Therapeutic Associates Inc | 4040 Ne Fremont St, Portland, OR 97212-1952 |
Asiya Z Akhgar | Physical Therapy | Therapeutic Associates Inc | 4040 Ne Fremont St, Portland, OR 97212-1952 |
Dawn S Whitman | Psychologist, Clinical | Western Psychological and Counseling Services PC | 3500 Ne Mlk Blvd, Suite 200, Portland, OR 97212-2093 |
Scott Robert Kurita | Optometry | Pdx Eye and Vision Care LLC | 2480 Ne Fremont St, Portland, OR 97212-2509 |
Christopher E Palmer | Optometry | Pdx Eye and Vision Care LLC | 2480 Ne Fremont St, Portland, OR 97212-2509 |
Armando J Zelada | Optometry | 2480 Ne Fremont St, Portland, OR 97212-2509 | |
Andrew D Rontal | Neurology | Providence Health and Services Washington | 4101 Ne Stanton St, Portland, OR 97212-2959 |
Flortasha Laray Rodgers | Nurse Practitioner | Cascadia Behavioral Healthcare, Inc | 3036 Ne Mlk Jr Blvd, Portland, OR 97212-3053 |
Alex L Delapaz | Physical Therapy | 2808 Ne Martin Luther King Jr Blvd, Suite C, Portland, OR 97212-3061 | |
Find all physicians in zip 97212 |
City | PORTLAND |
Zip Code | 97212 |
Specialty | DERMATOLOGY |
City + Specialty | PORTLAND + DERMATOLOGY |
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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.