Marquita A Granda (NPI# 1134527245, PAC ID# 8022337336) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1134527245 |
| PAC ID by PECOS | 8022337336 |
| Professional Enrollment ID | I20160816002422 |
| Full Name | Marquita A Granda |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Address |
5308 N Lombard St Portland OR 97203-4218 |
| Phone Number | 8882273312 |
| Gender | F |
| Graduation Year | 2014 |
| 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 |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4816 Nw Bethany Blvd, Portland, OR 97229-9254 | 8882273312 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 5050 Ne Hoyt, 454 Providence Med Group, Portland, OR 97213-2984 | 5032156405 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 5050 Ne Hoyt St, Portland, OR 97213-2984 | PROVIDENCE HEALTH AND SERVICES OREGON | |
| 5308 N Lombard St, Portland, OR 97203-4218 | 8882273312 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 1905 Se 164th Ave, Express Care At Walgreens Fisher's Landing, Vancouver, WA 98683-8937 | 3608363396 | 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 |
5308 N LOMBARD ST |
| City | PORTLAND |
| State | OR |
| Zip | 97203-4218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Sandstrom | Nurse Practitioner | Providence Health and Services Oregon | 5308 N Lombard St, Portland, OR 97203-4218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| J Roscoe Workman Purvine | Clinical Social Worker | 9304 N Seneca St, Portland, OR 97203-2280 | |
| Scott H Overton | Optometry | 8523 N Lombard St, Portland, OR 97203-3103 | |
| Carmine Thomas Provenzano | Physical Therapy | Two Rivers Physical Therapy, LLC | 7522 N Lombard St, A, Portland, OR 97203-3235 |
| Alexander C Henningsen | Physical Therapy | Two Rivers Physical Therapy, LLC | 7522 N Lombard St, A, Portland, OR 97203-3235 |
| Laura Mae Armstrong | Optometry | Alberta Eye Care | 8787 N Lombard St, Portland, OR 97203-3732 |
| Daniela M Minnis | Optometry | Alberta Eye Care | 8787 N Lombard St, Portland, OR 97203-3732 |
| Dawn Patricia Lantz | Nurse Practitioner | Rose City Medical LLC | 6110 B N Lombard St, Portland, OR 97203-4122 |
| Denise M Little | Nurse Practitioner | Rose City Medical LLC | 6110 B N Lombard St, Portland, OR 97203-4122 |
| Melissa Anne Bartoszewski | Chiropractic | 7232 N Burlington Ave, Portland, OR 97203-4817 |
| City | PORTLAND |
| Zip Code | 97203 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORTLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Marquita A Granda.
| 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.