Nicole Hainley (NPI# 1609172006, PAC ID# 7911153077) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1609172006 |
| PAC ID by PECOS | 7911153077 |
| Professional Enrollment ID | I20120807000079 |
| Full Name | Nicole Hainley |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Address |
9205 Sw Barnes Rd 1st Flr Providence Hopital W Portland OR 97725-6603 |
| Phone Number | 5032162906 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648183608 |
| Number of Group Practice Members | 1163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9205 Sw Barnes Rd, Portland, OR 97225-6603 | PROVIDENCE HEALTH AND SERVICES OREGON | |
| 9205 Sw Barnes Rd, Suite 20, Portland, OR 97225-6603 | 5032162229 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 | 5032162906 | 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 |
9205 SW BARNES RD 1ST FLR PROVIDENCE HOPITAL W |
| City | PORTLAND |
| State | OR |
| Zip | 97725-6603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Nguyen Pham | Hospitalist | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Jennifer Huang | Pediatric Medicine | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Roma Moza | Internal Medicine | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Alireza Shabani Ardali | Hospitalist | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Jennifer M Goodrich | Nurse Practitioner | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Anagha A Deshmukh | Hospitalist | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Maysee Dawn Salleva | Internal Medicine | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Jahnavi Chandrashekar | Internal Medicine | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Wilbert R Jones | Hospitalist | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Erandi Liyanaarachchi | Internal Medicine | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen D Sethi | Hospitalist | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Steven D Freer | Hospitalist | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Elizabeth A Picologlou | Internal Medicine | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Loreen G Leu | Nurse Practitioner | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Fareha A Nawaz | Nephrology | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Quinn R Emerson | Hospitalist | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Alexandra E Stanculescu | Hospitalist | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Sean Eugene Sha | Internal Medicine | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Divine Ribakare | Internal Medicine | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Chandra Shekhar Ojha | Hospitalist | Providence Health and Services Oregon | 9205 Sw Barnes Rd 1st Flr, Providence Hopital W, Portland, OR 97725-6603 |
| Find all physicians in zip 97725 | |||
| City | PORTLAND |
| Zip Code | 97725 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORTLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nicole Hainley.
| 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.