Theresa M Hines (NPI# 1750535100, PAC ID# 8820133127) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750535100 |
| PAC ID by PECOS | 8820133127 |
| Professional Enrollment ID | I20100310000711 |
| Full Name | Theresa M Hines |
| Organization Legal Name | MT. TABOR FAMILY MEDICAL GROUP, PC |
| Address |
5919 Se Belmont St Portland OR 97215-1925 |
| Phone Number | 5032347366 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901896018 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380060 | ADVENTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5919 Se Belmont St, Portland, OR 97215-1925 | 5032347366 | MT. TABOR FAMILY MEDICAL GROUP, PC |
| Organization Legal Name | MT. TABOR FAMILY MEDICAL GROUP, PC |
| Physicians | 1 |
| Street Address |
5919 SE BELMONT ST |
| City | PORTLAND |
| State | OR |
| Zip | 97215-1925 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elsbeth J Martindale | Psychologist, Clinical | 5525 E Burnside St, Portland, OR 97215-1258 | |
| Katherine Y Calvert | Clinical Social Worker | 4531 Se Belmont St, Suite 203, Portland, OR 97215-1657 | |
| Nancy I Holmes | Psychologist, Clinical | 4531 Se Belmont St, Suite 203, Portland, OR 97215-1675 | |
| Neisha A Caldwell | Clinical Social Worker | 4531 Se Belmont St, Suite 203, Portland, OR 97215-1675 | |
| Allie R Dashiell | Chiropractic | 6040 Se Belmont St, Suite 1230, Portland, OR 97215-1974 | |
| Darcelle A Tetzlaff | Chiropractic | Ashton Chiropractic Center PC | 5939 Se Belmont St, Unit A, Portland, OR 97215-1994 |
| Jamie M Ellis | Chiropractic | Ashton Chiropractic Center | 5939 Se Belmont St A, Portland, OR 97215-1994 |
| Thomas J Walton | Chiropractic | Ashton Chiropractic Center PC | 5939 Se Belmont St, Unit A, Portland, OR 97215-1994 |
| Darah A Ashton | Chiropractic | Ashton Chiropractic Center PC | 5939 Se Belmont St, Unit A, Portland, OR 97215-1994 |
| Melanie B Mamola | Chiropractic | Ashton Chiropractic Center | 5939 Se Belmont St A, Portland, OR 97215-1994 |
| Find all physicians in zip 97215 | |||
| City | PORTLAND |
| Zip Code | 97215 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORTLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Theresa M Hines.
| 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.