Jared C Hiebert (NPI# 1013278654, PAC ID# 9931498482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1013278654 |
| PAC ID by PECOS | 9931498482 |
| Professional Enrollment ID | I20170511001448 |
| Full Name | Jared C Hiebert |
| Organization Legal Name | LAKE GROVE ENT PC |
| Address |
17704 Jean Way Suite 101 Lake Oswego OR 97035-5584 |
| Phone Number | 5036350897 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 9133135692 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380051 | SALEM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 17704 Jean Way, Suite 101, Lake Oswego, OR 97035-5584 | 5036350897 | LAKE GROVE ENT PC |
| Organization Legal Name | LAKE GROVE ENT PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline Y Yang | Otolaryngology | Lake Grove Ent PC | 17704 Jean Way, Suite 101, Lake Oswego, OR 97035-5584 |
| Robert H Furman | Otolaryngology | Lake Grove Ent PC | 17704 Jean Way, Suite 101, Lake Oswego, OR 97035-5584 |
| Erika E Schettler Huberty | Otolaryngology | Lake Grove Ent PC | 17704 Jean Way, Suite 101, Lake Oswego, OR 97035-5584 |
| Michelle B Vessely | Otolaryngology | Lake Grove Ent PC | 17704 Jean Way, Suite 101, Lake Oswego, OR 97035-5584 |
| Maureen Molly Mulcahy | Otolaryngology | Lake Grove Ent PC | 17704 Jean Way, Suite 101, Lake Oswego, OR 97035-5584 |
| Street Address |
17704 JEAN WAY SUITE 101 |
| City | LAKE OSWEGO |
| State | OR |
| Zip | 97035-5584 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Betty S Jiang | Dermatology | Lake Oswego Dermatology Group PC | 17704 Jean Way, Suite 102, Lake Oswego, OR 97035-5585 |
| Caroline Y Yang | Otolaryngology | Lake Grove Ent PC | 17704 Jean Way, Suite 101, Lake Oswego, OR 97035-5584 |
| Andrew E Pitt | Dermatology | Lake Oswego Dermatology Group PC | 17704 Jean Way, Suite 102, Lake Oswego, OR 97035-5585 |
| Robert H Furman | Otolaryngology | Lake Grove Ent PC | 17704 Jean Way, Suite 101, Lake Oswego, OR 97035-5584 |
| Barry M Austin | Dermatology | Lake Oswego Dermatology Group PC | 17704 Jean Way, Suite 102, Lake Oswego, OR 97035-5585 |
| Bridget D Hartman | Dermatology | Lake Oswego Dermatology Group PC | 17704 Jean Way, Suite 102, Lake Oswego, OR 97035-5585 |
| Rajninder K Jutla | Anesthesiology | 17704 Jean Way, Suite 105, Lake Oswego, OR 97035-5586 | |
| Erika E Schettler Huberty | Otolaryngology | Lake Grove Ent PC | 17704 Jean Way, Suite 101, Lake Oswego, OR 97035-5584 |
| Helen Liu | Dermatology | Lake Oswego Dermatology Group PC | 17704 Jean Way, Suite 102, Lake Oswego, OR 97035-5585 |
| Michelle B Vessely | Otolaryngology | Lake Grove Ent PC | 17704 Jean Way, Suite 101, Lake Oswego, OR 97035-5584 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marla M Klein | Dermatology | 5200 Sw Meadows Rd, Suite 250, Lake Oswego, OR 97035-0066 | |
| Cynthia S Steinhauser | Clinical Social Worker | 11830 Kerr Pkwy, Suite 370, Lake Oswego, OR 97035-1228 | |
| Dominique Marguerite | Psychologist, Clinical | 22 Botticelli St, Lake Oswego, OR 97035-1303 | |
| Tierney Newman | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Colleen A Finnegan | Internal Medicine | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Devn Brown | Physical Therapy | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Herbert H Lim | Family Medicine | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Mary Beth Brown | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Muthoni K Ehmann | Physician Assistant | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Jessica A Nicoud | Registered Dietitian Or Nutrition Professional | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Find all physicians in zip 97035 | |||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | LAKE OSWEGO + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Jared C Hiebert.
| 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.