Kacie Talcott Nurse Practitioner
1321 Ne 99th Ave, 200 Gateway Fam and Com Me, Portland, OR 97220-9439


Kacie Talcott is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1154707669. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 8325354426. The primary specialty is NURSE PRACTITIONER. The organization is PROVIDENCE HEALTH AND SERVICES - OREGON. The address is 1321 Ne 99th Ave, 200 Gateway Fam and Com Me, Portland, OR 97220-9439. The zip code is 97220.


Kacie Talcott · 1321 Ne 99th Ave, 200 Gateway Fam and Com Me, Portland, OR 97220-9439

Nation Provider ID 1154707669
PAC ID by PECOS 8325354426
Professional Enrollment ID I20150903002889
Last Name TALCOTT
First Name KACIE
Gender F
Medical School Name OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Primary Specialty PROVIDENCE HEALTH AND SERVICES - OREGON
Phone Number 5032154250
Group Practice PAC ID 0648183608
Number of Group Practice Members 968
Address 1321 NE 99TH AVE
200 GATEWAY FAM AND COM ME
PORTLAND, OR 972209439
Claims Based Hospital Affiliation Claim Control Number (CCN): 380037
Legal Business Name: PROVIDENCE NEWBERG MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 380061
Legal Business Name: PROVIDENCE PORTLAND MEDICAL CENTER
Professional accepts Medicare Assignment Y
Report Quality Measures Y

subpremise: 200
street_number: 1321
route: Northeast 99th Avenue (NE 99th Ave)
neighborhood, political: Northeast Portland
locality, political: Portland
admin_level_2, political: Multnomah County
admin_level_1, political: Oregon (OR)
country, political: United States (US)
postal_code: 97220
postal_code_suffix: 9439
types : doctor, establishment, health, point_of_interest
latitude: 45.5324063
longitude: -122.5629354
latlng: (45.5324063, -122.5629354)


Providence Health and Services - Oregon · Medicare Physician

Name Address Specialty
Deani Iversen 9427 Sw Barnes Rd, Portland, OR 97225-6652 OBSTETRICS/GYNECOLOGY
Catherine Bargovan 12442 Sw Scholls Ferry Rd, Tigard, OR 97223-0803 PHYSICIAN ASSISTANT
Joseph Sullivan 5050 Ne Hoyt St, Portland, OR 97213-2984 FAMILY PRACTICE
Laurie Merlino 1321 Ne 99th Ave, Portland, OR 97220-9437 PHYSICIAN ASSISTANT
Alec Baker 5050 Ne Hoyt, Portland, OR 97213-2984 PHYSICIAN ASSISTANT
Daniel Oseran 1321 Ne 99th Ave, Portland, OR 97220-9439 CARDIAC ELECTROPHYSIOLOGY
Kimberly Smith Cupani 1321 Ne 99th Ave, Portland, OR 97220-9439 FAMILY PRACTICE
Marsha Ware 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Jacqueline Sammons 7280 Sw Beaverton Hillsdale Hwy, Portland, OR 97225-2008 NURSE PRACTITIONER
Kristin Garrett 5050 Ne Hoyt, Portland, OR 97213-2984 HOSPITALIST
Thuy-tien Pham 12442 Sw Scholls, Tigard, OR 97223-0803 INTERNAL MEDICINE
Kathleen Mccormick 971 11th Ave, Longview, WA 98632-2503 FAMILY PRACTICE
Laura Gordon 725 S Wahanna Rd, Seaside, OR 97138-7735 UROLOGY
Mary Grant 1321 Ne 99th Ave, Portland, OR 97220-9439 NURSE PRACTITIONER
Yasmin Ansari 5050 Ne Hoyt St, Portland, OR 97213-2984 INTERNAL MEDICINE
Michael Wray 501 Villa Rd, Newberg, OR 97132-1832 CERTIFIED REGISTERED NURSE ANESTHETIST
Douglas Niehus 12442 Sw Scholls, Tigard, OR 97223-0803 FAMILY PRACTICE
Charles White 5330 Ne Glisan St, Portland, OR 97213-3069 FAMILY PRACTICE
Brandy Cannon 971 11th Ave, Longview, WA 98632-2503 PHYSICIAN ASSISTANT
Richard Hamblin 5050 Ne Hoyt, Portland, OR 97213-2984 PHYSICIAN ASSISTANT

Zip 97220 · Nurse Practitioner · Medicare Physician

Name Address Specialty
Sitara Lones 1321 Ne 99th Ave, Portland, OR 97220-9437 NURSE PRACTITIONER
Anthony Gaston 1321 Ne 99th Ave, Portland, OR 97220-9439 NURSE PRACTITIONER
Joanne Eddington 1321 Ne 99th Ave, Portland, OR 97220-9439 NURSE PRACTITIONER
Elise Mahoney 1321 Ne, Portland, OR 97220-9437 NURSE PRACTITIONER
Roxanne Payne 1321 Ne 99th Ave, Portland, OR 97220-9439 NURSE PRACTITIONER
Marti Baird 1410 Ne106th Ave, Portland, OR 97220-3934 NURSE PRACTITIONER
Gwyneth Jones 1410 Ne106th Ave, Portland, OR 97220-3934 NURSE PRACTITIONER
Mary Conedera 8383 Ne Sandy Blvd, Portland, OR 97220-4967 NURSE PRACTITIONER
Daniel Leone 1321 Ne 99th Ave, Portland, OR 97220-9437 NURSE PRACTITIONER
Ijeoma Nwerem 135 Ne 102nd Ave, Portland, OR 97220-4167 NURSE PRACTITIONER
Christine Bloom 1321 Ne 99th Ave, Portland, OR 97220-9439 NURSE PRACTITIONER
Denise Little 135 Ne 102nd Ave, Portland, OR 97220-4167 NURSE PRACTITIONER
Carrie Schreibman 135 Ne 102nd Ave, Portland, OR 97220-4167 NURSE PRACTITIONER
Theresa Wear 1111 Ne 99th Ave, Portland, OR 97220-9442 NURSE PRACTITIONER
Pia Klamper 1321 Ne 99th Ave, Portland, OR 97220-9437 NURSE PRACTITIONER
Roxanne Griswold 1321 Ne 99th Ave, Portland, OR 97220-9439 NURSE PRACTITIONER
Tanya Scheibe Mirek 1321 Ne 99th Ave, Portland, OR 97220-9439 NURSE PRACTITIONER
Terrance James 1111 Ne 99th Ave, Portland, OR 97220-9442 NURSE PRACTITIONER
Lorraine Giordano 1321 Ne 99th Ave, Portland, OR 97220-9439 NURSE PRACTITIONER
Mark Puhlman 1321 Ne 99th Ave, Portland, OR 97220-9439 NURSE PRACTITIONER

Zip 97220 · Medicare Physician

Name Address Specialty
David Hotchkin 1111 Ne 99th Ave, Portland, OR 97220-9442 PULMONARY DISEASE
Benjamin Ware 10300 Ne Hancock St, Portland, OR 97220-3831 INTERNAL MEDICINE
Jeannie Louie 9205 Sw Barnes Rd, Portland, OR 97220 RADIATION ONCOLOGY
Hayley Kum 1321 Ne 99th Ave, Portland, OR 97220-9439 PHYSICIAN ASSISTANT
Craig Fausel 1111 Ne 99th Ave, Portland, OR 97220-9442 GASTROENTEROLOGY
Kate Blumner 1321 Ne 99th Ave, Portland, OR 97220-9439 PSYCHIATRY
Joshua Leibovitz 1321 Ne 99th Ave, Portland, OR 97220-9437 EMERGENCY MEDICINE
Alice Wang Chesebro 4805 Ne Glisan Garden Level, Portland, OR 97220 RADIATION ONCOLOGY
Laurie Merlino 1321 Ne 99th Ave, Portland, OR 97220-9437 PHYSICIAN ASSISTANT
Sun Park 1321 Ne 99th Ave, Portland, OR 97220-9439 HOSPITALIST
Marina Mezey 1321 Ne 99th Ave, Portland, OR 97220-9439 FAMILY PRACTICE
Heidi Joshi 1321 Ne 99th Ave, Portland, OR 97220-9439 CLINICAL PSYCHOLOGIST
Elizabeth Rupp 1321 Ne 99th Ave, Portland, OR 97220-9439 PHYSICIAN ASSISTANT
Brenda Roberts 1321 Ne 99th Ave, Portland, OR 97220-9437 FAMILY PRACTICE
Erika Magill 5050 Ne Hoyt St, Portland, OR 97220-9437 CLINICAL PSYCHOLOGIST
Jessica Mcconahay 1307 Ne 102 Ave G, Portland, OR 97220-3980 PHYSICAL THERAPY
Elizabeth Labby 177 Ne 102nd Ave V, Portland, OR 97220-4169 CERTIFIED NURSE MIDWIFE
Jeremy Holden 1111 Ne 99th Ave, Portland, OR 97220-9442 GASTROENTEROLOGY
Andrea Gough-goldman 1700 N 102nd Rd, Portland, OR 97220-3804 FAMILY PRACTICE
Daniel Leone 1321 Ne 99th Ave, Portland, OR 97220-9437 NURSE PRACTITIONER