Brandy A Jacob (NPI# 1790141919, PAC ID# 9931406873) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1790141919 |
| PAC ID by PECOS | 9931406873 |
| Professional Enrollment ID | I20160321001882 |
| Full Name | Brandy A Jacob |
| Organization Legal Name | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
| Address |
36155 9th St Suite 4 Nehalem OR 97131-8000 |
| Phone Number | 5038152260 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5092619569 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 36155 9th St, Suite 4, Nehalem, OR 97131-8000 | 5038152260 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
| 36155 9th St, Nehalem, OR 97131-8000 | 5038152260 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
| Organization Legal Name | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lila F Nussair | Family Medicine | Northwest Medical Foundation of Tillamook | 12350 Nw Main St, Suite 112, Banks, OR 97106-9045 |
| Shawn N Kuehl | Nurse Practitioner | Northwest Medical Foundation of Tillamook | 1011 3rd St, Tillamook, OR 97141-8292 |
| Erin Wisbey-martin | Family Medicine | Northwest Medical Foundation of Tillamook | 10445 Neahkahnie Creek Rd, Adventist Health Tillamook Medical Group Manzanita, Manzanita, OR 97130-0129 |
| Jing Wei | Nurse Practitioner | Northwest Medical Foundation of Tillamook | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 |
| Jeremy S Johnston | Physician Assistant | Northwest Medical Foundation of Tillamook | 1100 3rd St, Tillamook, OR 97141-3402 |
| Murlan E Grise | General Practice | Northwest Medical Foundation of Tillamook | 24661 E Welches Rd, Welches, OR 97067-7067 |
| Craig A Brown | Family Medicine | Northwest Medical Foundation of Tillamook | 38505 Brooten Rd A, Pacific City, OR 97135-8049 |
| Elaine M Oleksick | Nurse Practitioner | Northwest Medical Foundation of Tillamook | 1105 Se Jetty Ave C, Adventist Health Bayshore Medical Lincoln City, Lincoln City, OR 97367-2604 |
| Andrew F Nelson | Diagnostic Radiology | Northwest Medical Foundation of Tillamook | 1000 3rd St, Tillamook, OR 97141-3430 |
| Christopher K Kruebbe | Clinical Social Worker | Northwest Medical Foundation of Tillamook | 1100 3rd St, Tillamook, OR 97141-3402 |
| Street Address |
36155 9TH ST SUITE 4 |
| City | NEHALEM |
| State | OR |
| Zip | 97131-8000 |
| City | NEHALEM |
| Zip Code | 97131 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | NEHALEM + PHYSICAL THERAPY |
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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.