Terri L Dickens Landreth (NPI# 1295099422, PAC ID# 7517214570) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1295099422 |
| PAC ID by PECOS | 7517214570 |
| Professional Enrollment ID | I20180720003025 |
| Full Name | Terri L Dickens Landreth |
| Organization Legal Name | COLUMBIA RIVER HEALTH |
| Address |
450 Tatone St Boardman OR 97818-8076 |
| Phone Number | 5414817212 |
| Gender | F |
| Graduation Year | 1993 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 8527026087 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 450 Tatone St, Boardman, OR 97818-8076 | 5414817212 | COLUMBIA RIVER HEALTH |
| Organization Legal Name | COLUMBIA RIVER HEALTH |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin I Higginson | Physician Assistant | Columbia River Health | 450 Tatone St, Boardman, OR 97818-8076 |
| Geoffrey Lee Thomas | Family Medicine | Columbia River Health | 450 Tatone St, Boardman, OR 97818-8076 |
| David M Collins | Physician Assistant | Columbia River Health | 450 Tatone St, Boardman, OR 97818-8076 |
| Nathan G Lystrup | Nurse Practitioner | Columbia River Health | 450 Tatone St, Boardman, OR 97818-8076 |
| Alysia M Mcdonald | Physician Assistant | Columbia River Health | 450 Tatone St, Boardman, OR 97818-8076 |
| Street Address |
450 TATONE ST |
| City | BOARDMAN |
| State | OR |
| Zip | 97818-8076 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin I Higginson | Physician Assistant | Columbia River Health | 450 Tatone St, Boardman, OR 97818-8076 |
| Geoffrey Lee Thomas | Family Medicine | Columbia River Health | 450 Tatone St, Boardman, OR 97818-8076 |
| David M Collins | Physician Assistant | Columbia River Health | 450 Tatone St, Boardman, OR 97818-8076 |
| Nathan G Lystrup | Nurse Practitioner | Columbia River Health | 450 Tatone St, Boardman, OR 97818-8076 |
| Alysia M Mcdonald | Physician Assistant | Columbia River Health | 450 Tatone St, Boardman, OR 97818-8076 |
| Robert J Boss | Emergency Medicine | Columbia River Community Health Services | 450 Tatone St, Boardman, OR 97818-8076 |
| Angie L Hays | Nurse Practitioner | Columbia River Community Health Services | 450 Tatone St, Boardman, OR 97818-8076 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel C Hambleton | Family Medicine | 101 Boardman Ave, Boardman, OR 97818 | |
| Landan D Morgan | Physical Therapy | 101 Sw Kinkade Rd, Boardman, OR 97818-9001 |
| City | BOARDMAN |
| Zip Code | 97818 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BOARDMAN + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Terri L Dickens Landreth.
| 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.