affiliated provider directory - kaiser permanente...state st, salem, or. 97301 800-813-2000 m y none...

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AFFILIATED PROVIDER DIRECTORY THIS DIRECTORY APPLIES TO THE FOLLOWING NETWORKS: CLASSIC, CLASSIC COMPLETE, CLASSIC + DENTAL CHOICE, ADDED CHOICE, ADDED CHOICE + DENTAL CHOICE KAISER PERMANENTE NORTHWEST REGION PUBLISHED SEPTEMBER 2019 The information in this directory is updated monthly. For the most up-to-date information, please visit kp.org or contact Member Services at 1-800-813-2000. The availability of physicians, hospitals, providers, and services may change. Information about practitioners is provided to us by the practitioners or is obtained as part of the credentialing process and is accurate as of the date on this directory. If you have questions, please call Member Services from 8 a.m. to 6 p.m., Monday through Friday, at 1-800-813-2000. For TTY, call 711 . For language interpretation services, call 1-800-324-8010. To report provider directory inaccuracies, please call Member Services at 1-800-813- 2000 or go to kp.org/webmanager . Help in your language Interpreter services, including American Sign Language (ASL), are available during business hours at no additional cost to members. Many of our doctors also speak more than one language. Call 1-800-324- 8010 (toll free), or 1-800-813-2000 (toll free) or 711 (TTY). For specific license information, including malpractice history and disciplinary actions, you can call the Oregon Medical Board at 971-673-2700 or the Washington State Department of Health at 360-236-4700. For specific license information, including malpractice history and disciplinary actions, you can call the Oregon Medical Board at 971-673-2700 or the Washington State Department of Health at 360-236-4700. Referrals to affiliated community physicians/providers in Oregon and Washington Affiliated community physicians/providers are not part of the Northwest Permanente Medical Group (NWPMG). If your NWPMG physician decides that you require covered services not available internally from an NWPMG physician, he or she may refer you to an affiliated community physician/provider. A referral and prior authorization from Kaiser Foundation Health Plan of the Northwest may be required. For specific information, refer to the “Referral Required” column in the following list of providers. All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. 500 NE Multnomah St., Suite 100, Portland, OR 97232. 19415_09-19

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Page 1: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

AFFILIATED PROVIDER DIRECTORY THIS DIRECTORY APPLIES TO THE FOLLOWING NETWORKS: CLASSIC, CLASSIC COMPLETE, CLASSIC + DENTAL CHOICE, ADDED CHOICE, ADDED CHOICE + DENTAL CHOICE

KAISER PERMANENTE NORTHWEST REGION

P U B L I S H E DS E P T E M B E R

2 0 1 9

The information in this directory is updated monthly. For the most up-to-date information, please visit kp.org or contact Member Services at 1-800-813-2000. The availability of physicians, hospitals, providers, and services may change. Information about practitioners is provided to us by the practitioners or is obtained as part of the credentialing process and is accurate as of the date on this directory.

If you have questions, please call Member Services from 8 a.m. to 6 p.m., Monday through Friday, at 1-800-813-2000. For TTY, call 711. For language interpretation services, call 1-800-324-8010.

To report provider directory inaccuracies, please call Member Services at 1-800-813-2000 or go to kp.org/webmanager.

Help in your language

Interpreter services, including American Sign Language (ASL), are available during business hours at no additional cost to members. Many of our doctors also speak more than one language. Call 1-800-324-8010 (toll free), or 1-800-813-2000 (toll free) or 711 (TTY).

For specific license information, including malpractice history and disciplinary actions, you can call the Oregon Medical Board at 971-673-2700 or the Washington StateDepartment of Health at 360-236-4700.

For specific license information, including malpractice history and disciplinary actions, you can call the Oregon Medical Board at 971-673-2700 or the Washington StateDepartment of Health at 360-236-4700.

Referrals to affiliated community physicians/providers in Oregon and Washington

Affiliated community physicians/providers are not part of the Northwest Permanente Medical Group (NWPMG).

If your NWPMG physician decides that you require covered services not available internally from an NWPMG physician, he or she may refer you to an affiliated community physician/provider.

A referral and prior authorization from Kaiser Foundation Health Plan of the Northwest may be required. For specific information, refer to the “Referral Required” column in the following list of providers.

All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. 500 NE Multnomah St., Suite 100, Portland, OR 97232.

19415_09-19

Page 2: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Accessibility of medical offices and medical centers in this directory

For information about accessibility, please contact the individual provider.

All physicians/providers in this directory speak English. If a provider speaks another language, it is included in the following pages.

Telehealth/Telemedicine Appointment Options

CARE, ANYWHERE.

Save time, stay comfortable, and get urgent, primary, and specialty care via phone or video — from home, work, or anywhere else on your camera-equipped computer, tablet, or smartphone.

Phone and video visits are great for minor health conditions and follow-up care.

Phone

Get care by phone 24/7, or schedule a phone appointment with your provider.

Video

Meet face-to-face with a provider online by computer, smartphone, or tablet.

Connect for Care Anywhere

Schedule a phone or video visit today by going to kp.org/myhealthmanager or calling 1-800-813-2000 (TTY 711).

Mobile users, download the Kaiser Permanente app on your tablet or smartphone to get started. For technical support, call 1-844-800-0826.

E-Visits

Now offering online medical consultations on kp.org.

If you have a nonurgent medical condition at any time and you’re not sure what kind of care you need, an e-visit may be a good option for you. An e-visit is an online medical consultation with a Kaiser Permanente advice nurse that’s available at no cost for select medical conditions such as nausea/vomiting, pink eye, female UTI, sore throat, sinus issues, constipation, and diarrhea.

Page 3: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Provider selection criteria

Kaiser Foundation Health Plan of the Northwest (KFHPNW) offers several networks that are comprised of the Kaiser Permanente integrated health care delivery system. The primary contracted provider groups and facilities that participate include: Northwest Permanente, P.C., Physicians and Surgeons, facilities owned and operated by Kaiser Foundation Hospitals (hospitals, Kaiser Permanente medical offices, Kaiser Permanente pharmacies), The Portland Clinic, The CHP Group, and contracted hospitals. In general, the networks contain physicians, specialists and facilities to provide services to individuals and groups covered under all Kaiser Permanente plans.

Prior to allowing network participation, providers must successfully complete the initial credentialing process and demonstrate their ongoing ability to meet credentialing standards through a re-credentialing process. Providers are required to provide the information needed to review and verify their credentials. To ensure quality and safety of care between re-credentialing cycles, Kaiser Permanente performs ongoing monitoring of the participating provider’s performance. Kaiser Permanente acts on important quality or safety issues in a timely manner by taking appropriate action against a participating provider when occurrences of poor quality are identified.

We also monitor and analyze member feedback relating to network access, availability of providers, and cultural needs and preferences. This information helps guide our network improvement efforts.

Tiered network criteria

Kaiser Foundation Health Plan of the Northwest offers three tiered networks including Added Choice, Added Choice + Dental Choice, and PPO Plus. The primary contracted provider groups and facilities that participate in Tier 1 include: Northwest Permanente, P.C., Physicians and Surgeons, facilities owned and operated by Kaiser Foundation Health Plan (Kaiser Permanente Medical Offices and Pharmacies), Kaiser Foundation Hospitals (hospitals), The Portland Clinic, and contracted hospitals.

The Added Choice and Added Choice + Dental Choice networks are comprised of the Kaiser Permanente integrated health care delivery system (as described above) and The CHP Group for Tier 1, and First Choice Health PPO Network (or First Health Network for members in states other than OR, WA, ID, MT, WY, ND, SD and AK) for Tier 2. The Added Choice networks are designed to allow members access to all that Kaiser Permanente offers plus the option to seek care from providers outside our network. Tier 1 providers can be located on kp.org and chpgroup.com. Tier 2 providers can be located at kp.org/addedchoice. Non-participating providers and facilities are Tier 3 providers.

To verify board certification for an individual practitioner, please visit the American Board of Medical Specialties (http://www.abms.org/member-boards/specialty-subspecialty-certificates/), the American Medical Association (https://www.ama-assn.org/), or the American Osteopathic Association (https://www.osteopathic.org/) websites.

Page 4: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Abbreviations of medical titles

ANP Adult Nurse Practitioner

ARNP Advanced Registered Nurse Practitioner

AuD Doctor of Audiology

BA Bachelor of Arts

BS Bachelor of Science

CADC Certified Alcohol and Drug Counselor (I, II, III)

CCMHC Certified Clinical Mental Health Counselor

CDE Certified Diabetes Educator

CDP Chemical Dependency Professional

CFNP Certified Family Nurse Practitioner

CNM Certified Nurse-Midwife

CRNA Certified Registered Nurse Anesthetist

DO Doctor of Osteopathy

DPM Doctor of Podiatric Medicine

FACS Fellow of the American College of Surgeons

FNP Family Nurse Practitioner

GNP Geriatric Nurse Practitioner

LAc Licensed Acupuncturist

LCSW Licensed Clinical Social Worker

LMFT Licensed Marriage and Family Therapist

LPC Licensed Professional Counselor

MA Master of Arts

MD Medical Doctor

MEd Master of Education

MMFT Master of Marriage and Family Therapy

MN Master of Nursing

MPH Master of Public Health

MS Master of Science

MSN Master of Science and Nursing

MSSW Master of Science in Social Work

MSW Master of Social Work

NP Nurse Practitioner

OD Doctor of Optometry

PA Physician Assistant

PA-C Physician Assistant-Certified

PhD Doctor of Philosophy

PMHNP Psychiatric Mental Health Nurse Practitioner

PNP Pediatric Nurse Practitioner

PsyD Doctor of Psychology

RC Registered Counselor

RD Registered Dietitian

RN Registered Nurse

WHCNP Women’s Health Care Nurse Practitioner

Participating and Select Providers, Kaiser Permanente, Northwest Region.

Primary care provider eligibility indicated in the Accepting New Members column.Last updated September 2019. For the most up-to-date information, visit kp.org.19415_09-19

Page 5: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 1 19415_9-19

Addiction Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Lisa P Knudsen, LPC

Newberg Counseling & Well-ness, LLC 901 N Brutscher St Ste 204, Newberg, OR. 97132

800-813-2000

F Y None Y

Adult Nurse Practitioner

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Sean Elliott, NP

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M Y None Y

Nichol S Halverson, ARNP

Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste 210, Longview, WA. 98632

800-813-2000

F Y None Y

Julie E Hinson, NP

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Spanish Y

Mary K Horton, ANPMadrona Recovery Center,

Inc 7000 SW Varns St, Tigard, OR. 97223 800-813-2000

F Y None Y

Allergy

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Alalia W Berry, MD

Allergy and Asthma Center, PC 330 S Garden Way Ste 150, Eugene, OR. 97401

800-813-2000

F YAB Allergy/Immu-

nology, AB Internal Medicine

None Y

Page 6: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 2 19415_9-19

Richard O Buck, MD

Praxis Medical Group, PC DBA Oregon Allergy Asso-ciates 1488 Oak St, Eugene,

OR. 97401 800-813-2000

M YAB Allergy/

ImmunologyNone Y

Jason H Friesen, MD

Praxis Medical Group, PC DBA Oregon Allergy Asso-ciates 1488 Oak St, Eugene,

OR. 97401 800-813-2000

M YAB Allergy/

ImmunologyNone Y

Kraig W Jacobson, MD

Praxis Medical Group, PC DBA Oregon Allergy Asso-ciates 1488 Oak St, Eugene,

OR. 97401 800-813-2000

M YAB Allergy/Immu-

nology, AB Internal Medicine

None Y

Sarah S Kehl, MD

Praxis Medical Group, PC DBA Oregon Allergy Asso-ciates 1488 Oak St, Eugene,

OR. 97401 800-813-2000

F YAB Allergy/

ImmunologyNone Spanish Y

Allergy & Immunology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Alice H Chou, MD

Allergy and Asthma Center, PC - Corvallis 330-C NW

Elks Dr, Corvallis, OR. 97330 800-813-2000

F YAB Allergy/Immu-

nology, AB Internal Medicine

NoneChinese

(General)Y

Alice H Chou, MD

Allergy and Asthma Center, PC 330 S Garden Way Ste 150, Eugene, OR. 97401

800-813-2000

F YAB Allergy/Immu-

nology, AB Internal Medicine

NoneChinese

(General)Y

Barzin Khalili, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Allergy/Immu-

nology, AB Internal Medicine

None Y

Anthony Montanaro, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Allergy/Immu-

nology, AB Internal Medicine

None Y

Page 7: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 3 19415_9-19

Candice M Rohr, MD

Allergy and Asthma Center, PC - Corvallis 330-C NW

Elks Dr, Corvallis, OR. 97330 800-813-2000

F YAB Allergy/Immunolo-

gy, AB PediatricsNone Y

Candice M Rohr, MD

Allergy and Asthma Center, PC 330 S Garden Way Ste 150, Eugene, OR. 97401

800-813-2000

F YAB Allergy/Immunolo-

gy, AB PediatricsNone Y

Anesthesiology, Pain Management

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Mark Kallgren, MD

Oregon Anesthesiology Group, PC 707 SW Washing-ton St Ste 700, Portland, OR.

97205 800-813-2000

M YPain Man-agement

AB Anesth (Critical Care), AB Anesth (Pain

Management)None Y

Mark A Norling, MD

Oregon Anesthesiology Group, PC 707 SW Washing-ton St Ste 700, Portland, OR.

97205 800-813-2000

M Y AB Anesthesiology None Y

Stuart M Rosenblum, MD

Oregon Anesthesiology Group, PC 707 SW Washing-ton St Ste 700, Portland, OR.

97205 800-813-2000

M YAmerican Board of

AnesthesiologyNone Y

Stuart M Rosenblum, MD

Oregon Interventional Pain Consultants, LLC 1849 NW

Kearney St Ste 201, Portland, OR. 97209 800-813-2000

M YAmerican Board of

AnesthesiologyNone Y

Eun J Yi, MD

LSC - Legacy Clinic Salmon Pain Management Center 2101 NE 139th St Ste 265,

Vancouver, WA. 98686 800-813-2000

F YAB Anesthesiolo-

gy, AB Anesth (Pain Management)

None Y

Eun J Yi, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F YAB Anesthesiolo-

gy, AB Anesth (Pain Management)

None Y

Page 8: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 4 19415_9-19

Audiology / Speech / Hearing

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Shelby N Atwill, AUD

Tucker-Maxon Oral School 2860 SE Holgate Blvd, Portland, OR. 97202

800-813-2000

F Y None Y

Patricia Burmeister, MA

WVC - Willamette Valley Ear, Nose & Throat 2700 SE Stra-tus Ave Ste 402, McMinnville,

OR. 97128 800-813-2000

F Y None Y

Susan L Detels, AUD

Oregon Ear, Nose and Throat, PC - Willagillespie

Rd 995 Willagillespie Rd Ste 300C, Eugene, OR. 97401

800-813-2000

F Y None Y

Susan L Detels, AUD

Oregon Ear, Nose and Throat, PC 360 S Garden Way Ste 200, Eugene, OR. 97401

800-813-2000

F Y None Y

Rhonda R Dojan, CCC-A

PeaceHealth Medical Group - Lower Columbia - ENT Clinic 1801 1st Ave Ste

3A, Longview, WA. 98632 800-813-2000

F Y None Y

Jessica L Eggleston, CCC-A, AuD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Jennifer R Fowler, CCC-A, AuD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Sara Funatake, AUD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Page 9: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 5 19415_9-19

Joseph Goyzman, AUD

PeaceHealth Medical Group - Lower Columbia - ENT Clinic 1801 1st Ave Ste

3A, Longview, WA. 98632 800-813-2000

M Y None Y

Amy L Johnson, CCC-A, AuD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Melody C Kahane, Aud

PeaceHealth Medical Group Oregon - Univ Dist ENT 1200 Hilyard St Ste 620, Eugene, OR. 97401 800-813-2000

F Y None Y

Jennifer J Lane, CCC-A, AuD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Keri L O’Connell Bennett, CCC-A

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Devon M Paldi, CCC-A, AuD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y

American Speech-Lan-

guage-Hearing Association

None Y

Nadia A Pierce, CCC-A,AuD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y Allergy None Y

Serena A Shafer, AUD

Portland Clinic The, LLP-Ti-gard Medical Office 9250 SW Hall Blvd, Tigard, OR. 97223

800-813-2000

F Y None Y

Carrie E Slough, CCC-A, AuD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Ashley K Sobchuk, AUD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Page 10: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 6 19415_9-19

Katherine A Swem, CCC-AuD

OHSU - Child Development & Rehabilitation Center - Eu-

gene 901 E 18th Ave, Eugene, OR. 97403 800-813-2000

M Y None Y

Katherine A Swem, CCC-AuD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Katherine A Swem, CCC-AuD

PeaceHealth Medical Group Oregon - Univ Dist ENT 1200 Hilyard St Ste 620, Eugene, OR. 97401 800-813-2000

M Y None Y

Brittany K Wilson, CCC-A,AuD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Cardiac Electrophysiology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Hongsheng M Guo, MD

PeaceHealth Sacred Heart Physicians - Cardiology - Bay Area Hospital 1775 Thomp-

son Rd, Coos Bay, OR. 97420 800-813-2000

M Y

AB Int Med (Car-diovascular Dis-ease, AB Int Med (Clinical Cardiac

Electrophysiology)

None Y

Hongsheng M Guo, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Coos Bay 1900 Woodland Dr, Coos Bay, OR. 97420

800-813-2000

M Y

AB Int Med (Car-diovascular Dis-ease, AB Int Med (Clinical Cardiac

Electrophysiology)

None Y

Hongsheng M Guo, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Florence 310 9th St, Florence, OR. 97439 800-813-2000

M Y

AB Int Med (Car-diovascular Dis-ease, AB Int Med (Clinical Cardiac

Electrophysiology)

None Y

Page 11: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 7 19415_9-19

Hongsheng M Guo, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

RiverBend 3311 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M Y

AB Int Med (Car-diovascular Dis-ease, AB Int Med (Clinical Cardiac

Electrophysiology)

None Y

Sreekanth Karanam, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

RiverBend 3311 RiverBend Dr 3rd Fl, Springfield, OR. 97477

800-813-2000

M Y None Y

Ramakota K Reddy, MD

PeaceHealth Sacred Heart Physicians - Cardiology - Bay Area Hospital 1775 Thomp-

son Rd, Coos Bay, OR. 97420 800-813-2000

M Y None Y

Ramakota K Reddy, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Coos Bay 1900 Woodland Dr, Coos Bay, OR. 97420

800-813-2000

M Y None Y

Ramakota K Reddy, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Florence 310 9th St, Florence, OR. 97439 800-813-2000

M Y None Y

Ramakota K Reddy, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

RiverBend 3311 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M Y None Y

Cardiovascular Disease

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Shaun L Ageno, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Emily J Armstrong, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Page 12: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 8 19415_9-19

Maziar Azadpour, MDCascade Cardiology, LLC 777 Commercial St SE Ste 103, Sa-lem, OR. 97301 800-813-2000

M YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Farsi Y

Maziar Azadpour, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y

AB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Farsi Y

Maziar Azadpour, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Farsi Y

Sudeshna Banerjee, MD

PeaceHealth Sacred Heart Physicians - Cardiology - Bay Area Hospital 1775 Thomp-

son Rd, Coos Bay, OR. 97420 800-813-2000

F Y

AB Int Med (Interven-tional Cardiology), AB Int Med (Cardiovascu-

lar Disease)

None Y

Sudeshna Banerjee, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Coos Bay 1900 Woodland Dr, Coos Bay, OR. 97420

800-813-2000

F Y

AB Int Med (Interven-tional Cardiology), AB Int Med (Cardiovascu-

lar Disease)

None Y

Sudeshna Banerjee, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Florence 310 9th St, Florence, OR. 97439 800-813-2000

F Y

AB Int Med (Interven-tional Cardiology), AB Int Med (Cardiovascu-

lar Disease)

None Y

Sudeshna Banerjee, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

RiverBend 3311 RiverBend Dr, Springfield, OR. 97477

800-813-2000

F Y

AB Int Med (Interven-tional Cardiology), AB Int Med (Cardiovascu-

lar Disease)

None Y

Connie Barber, ANP

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Katherine E Bischof, PA

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Page 13: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 9 19415_9-19

Craig S Broberg, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M YInternal

MedicineNone

Spanish; Italian; French

Y

Samuel A Camacho, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Scott Chadderdon, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Arjun K Chagarlamudi, MDCascade Cardiology, LLC 777 Commercial St SE Ste 103, Sa-lem, OR. 97301 800-813-2000

M Y AB Internal Medicine None Spanish Y

Arjun K Chagarlamudi, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y AB Internal Medicine None Spanish Y

Joaquin Cigarroa, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y

AB Int Med (Interven-tional Cardiology), AB Int Med (Cardiovascu-

lar Disease)

None Spanish Y

Thomas Dewland, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Int Med (Cardio-

vascular Disease)None Y

Matthew C Fedor, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y

AB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Matthew C Fedor, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Maros Ferencik, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Czech Y

Harminder P Gandhok, MD

Cascade Cardiology, LLC 777 Commercial St SE Ste 103, Sa-lem, OR. 97301 800-813-2000

M Y

AB Int Med (Cardio-vascular Disease), AB Int Med (Intervention-

al Cardiology)

None Y

Page 14: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 10 19415_9-19

Harminder P Gandhok, MD

Salem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y

AB Int Med (Cardio-vascular Disease), AB Int Med (Intervention-

al Cardiology)

None Y

Harminder P Gandhok, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y

AB Int Med (Cardio-vascular Disease), AB Int Med (Intervention-

al Cardiology)

None Y

Kamran Ghalili, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y

AB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Farsi Y

Kamran Ghalili, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Farsi Y

Naji M Hamdan, MD

LSC - Legacy Medical Group Cardiology 2121 NE 139th St Ste 360, Vancouver, WA.

98686 800-813-2000

M Y

AB Int Med (Cardio-vascular Disease), AB Int Med (Intervention-

al Cardiology)

None Y

Allan L Harrelson, DO

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Stephen B Heitner, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Charles M Henrikson, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Spanish Y

Miles P Holland, ANP

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

M Y None Y

Miles P Holland, ANP

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

M Y None Y

Page 15: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 11 19415_9-19

Miles P Holland, ANP

Portland Clinic The, LLP - Ti-gard Medical Office 9250 SW Hall Blvd, Tigard, OR. 97223

800-813-2000

M Y None Y

Hrishi Iyengar, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y

AB Int Med (Cardio-vascular Disease), AB Int Med (Intervention-

al Cardiology)

None Y

Hrishi Iyengar, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y

AB Int Med (Cardio-vascular Disease), AB Int Med (Intervention-

al Cardiology)

None Y

Peter M Jessel, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Raghu Kamineni, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y

AB Int Med (Cardio-vascular Disease), AB Int Med (Intervention-

al Cardiology)

None Y

Raghu Kamineni, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y

AB Int Med (Cardio-vascular Disease), AB Int Med (Intervention-

al Cardiology)

None Y

Bridget Kammerzelt, PA-C

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Tina M Kaufman, PA

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Sanjiv Kaul, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y NoneUrdu;

Punjabi; Hindi

Y

Abigail D Khan, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Page 16: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 12 19415_9-19

Angela Krebsbach, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Barath Krishnamurthy, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y

AB Int Med (Cardio-vascular Disease), AB Int Med (Intervention-

al Cardiology)

None Y

Barath Krishnamurthy, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y

AB Int Med (Cardio-vascular Disease), AB Int Med (Intervention-

al Cardiology)

None Y

Dai Trang Le, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Jonathan Lindner, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

James P Lowry, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y

AB Internal Medicine, AB Int Med (Hos-

pitce and Palliative Medicine)

None Y

Jayne Mitchell, ANP

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Edward Murphy, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Shashima Nakahara, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

F YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Samantha M Pacheco, PACascade Cardiology, LLC 777 Commercial St SE Ste 103, Sa-lem, OR. 97301 800-813-2000

F YNational Commission

on Certification of Phys Assistants, Inc

None Y

Page 17: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 13 19415_9-19

Ashit G Patel, MDCascade Cardiology, LLC 777 Commercial St SE Ste 103, Sa-lem, OR. 97301 800-813-2000

M YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Ashit G Patel, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Ashit G Patel, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y

AB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Ashit G Patel, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Manjunath G Raju, MD

PeaceHealth Sacred Heart Physicians - Cardiology - Bay Area Hospital 1775 Thomp-

son Rd, Coos Bay, OR. 97420 800-813-2000

M YAB Family Medicine

(MD), AB Internal Medicine

None Y

Manjunath G Raju, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Coos Bay 1900 Woodland Dr, Coos Bay, OR. 97420

800-813-2000

M YAB Family Medicine

(MD), AB Internal Medicine

None Y

Manjunath G Raju, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Florence 310 9th St, Florence, OR. 97439 800-813-2000

M YAB Family Medicine

(MD), AB Internal Medicine

None Y

Manjunath G Raju, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

RiverBend 3311 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M YAB Family Medicine

(MD), AB Internal Medicine

None Y

Diana Rinkevich, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None

Spanish; Hebrew

Y

Sandeep A Saha, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y

AB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Hindi Y

Page 18: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 14 19415_9-19

Sandeep A Saha, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Hindi Y

Meghan H Saito, ACNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Jay B Shah, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

M YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Jay B Shah, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

M YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Shimoli Shah, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Michael D Shapiro, DO

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

John Silver, MD

Santiam Pulmonary Clin-ic 1401 N 10th Ave Ste

200, Stayton, OR. 97383 800-813-2000

M YAB Int Med (Pulmo-

nary Disease)None Y

Eugene M Spear, MD

WVC - Willamette Valley Hospitalists 2700 SE Stratus

Ave Ste 303, McMinnville, OR. 97128 800-813-2000

M Y None Y

Eric C Stecker, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Sahar Taqui, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

F Y None Y

Page 19: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 15 19415_9-19

Kevin H Thompson, DOSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y None Y

Kevin H Thompson, DO

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

Ajay Tripuraneni, MBBS, MD

LSC - Legacy Medical Group Cardiology 2121 NE 139th St Ste 360, Vancouver, WA.

98686 800-813-2000

F Y None Y

Kevin S Wei, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None

Can-tonese

(Chinese dialect)

Y

Patricia L Woods, ANP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Monique M Ying, PA

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

F Y None Y

Monique M Ying, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Cardiovascular Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Lauren M Azarbal, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Romilla Bijlani, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Page 20: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 16 19415_9-19

Stephen L Cook, MD

PeaceHealth Sacred Heart Physicians - Cardiology - Bay Area Hospital 1775 Thomp-

son Rd, Coos Bay, OR. 97420 800-813-2000

M YAB Internal Medicine, AB Int Med (Interven-

tional CardiologyNone Y

Stephen L Cook, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Coos Bay 1900 Woodland Dr, Coos Bay, OR. 97420

800-813-2000

M YAB Internal Medicine, AB Int Med (Interven-

tional CardiologyNone Y

Stephen L Cook, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Florence 310 9th St, Florence, OR. 97439 800-813-2000

M YAB Internal Medicine, AB Int Med (Interven-

tional Cardiolgoy)None Y

Stephen L Cook, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

RiverBend 3311 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M YAB Internal Medicine, AB Int Med (Interven-

tional Cardiolgoy)None Y

Jonathan C Daniel, MD

Starr-Wood Cardiac Group of Portland, PC 9155 SW Barnes

Rd Ste 240, Portland, OR. 97225 800-813-2000

M YAB Surgery, AB Tho-

racic SurgeryNone Y

Robert A DuBose, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y AB Surgery None Y

David J Duke, MD

PeaceHealth Sacred Heart Physicians - Cardiovascular Surgery 3311 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

M Y

Thoracic & Cardio-

vasular Surgery

AB Thoracic Surgery None Y

Anthony P Furnary, MD

Starr-Wood Cardiac Group of Portland, PC 9155 SW Barnes

Rd Ste 240, Portland, OR. 97225 800-813-2000

M YThoracic Surgery

AB Thoracic Surgery None Y

Anne M Glover, PA-C

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Page 21: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 17 19415_9-19

Dennis J Gory, MD

PeaceHealth Sacred Heart Physicians - Cardiology - Bay Area Hospital 1775 Thomp-

son Rd, Coos Bay, OR. 97420 800-813-2000

M YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Dennis J Gory, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Coos Bay 1900 Woodland Dr, Coos Bay, OR. 97420

800-813-2000

M YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Dennis J Gory, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Florence 310 9th St, Florence, OR. 97439 800-813-2000

M YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Dennis J Gory, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

RiverBend 3311 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

John W Gundry, MD

PeaceHealth Sacred Heart Physicians - Cardiology - Bay Area Hospital 1775 Thomp-

son Rd, Coos Bay, OR. 97420 800-813-2000

M YAB Int Med (Cardio-

vascular Disease)None Y

John W Gundry, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Coos Bay 1900 Woodland Dr, Coos Bay, OR. 97420

800-813-2000

M YAB Int Med (Cardio-

vascular Disease)None Y

John W Gundry, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Florence 310 9th St, Florence, OR. 97439 800-813-2000

M YAB Int Med (Cardio-

vascular Disease)None Y

John W Gundry, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

RiverBend 3311 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M YAB Int Med (Cardio-

vascular Disease)None Y

Stephanie L Hart, NP-C

Starr-Wood Cardiac Group of Portland, PC 9155 SW Barnes

Rd Ste 240, Portland, OR. 97225 800-813-2000

F Y None Y

Page 22: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 18 19415_9-19

Lindsey L Hern, PA-C

Starr-Wood Cardiac Group of Portland, PC 9155 SW Barnes

Rd Ste 240, Portland, OR. 97225 800-813-2000

F Y None Y

Cathy L Hernandez, PA-C

Starr-Wood Cardiac Group of Portland, PC 9155 SW Barnes

Rd Ste 240, Portland, OR. 97225 800-813-2000

F Y None Y

Deborah Hughes, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F YAB Int Med (Cardio-

vascular Disease)None Y

Elan B Kennedy, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Paul S Koh, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

RiverBend 3311 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M Y AB Thoracic Surgery None Y

Paul S Koh, MD

PeaceHealth Sacred Heart Physicians - Cardiovascular Surgery 3311 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

M Y AB Thoracic Surgery None Y

Thomas A Molloy, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Eric R Muller, MD

PeaceHealth Sacred Heart Physicians - Cardiology - Bay Area Hospital 1775 Thomp-

son Rd, Coos Bay, OR. 97420 800-813-2000

F YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Eric R Muller, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Coos Bay 1900 Woodland Dr, Coos Bay, OR. 97420

800-813-2000

F YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Page 23: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 19 19415_9-19

Eric R Muller, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Florence 310 9th St, Florence, OR. 97439 800-813-2000

F YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Eric R Muller, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

RiverBend 3311 RiverBend Dr, Springfield, OR. 97477

800-813-2000

F YAB Internal Medicine, AB Int Med (Cardio-

vascular Disease)None Y

Ashok Muralidaran, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAOB Surgery (Thorac-

ic Cardio)None Hindi Y

Richard C Padgett, MD

PeaceHealth Sacred Heart Physicians - Cardiology - Bay Area Hospital 1775 Thomp-

son Rd, Coos Bay, OR. 97420 800-813-2000

M YAB Int Med (Cardio-

vascular Disease)None Y

Richard C Padgett, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Coos Bay 1900 Woodland Dr, Coos Bay, OR. 97420

800-813-2000

M YAB Int Med (Cardio-

vascular Disease)None Y

Richard C Padgett, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Florence 310 9th St, Florence, OR. 97439 800-813-2000

M YAB Int Med (Cardio-

vascular Disease)None Y

Richard C Padgett, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

RiverBend 3311 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M YAB Int Med (Cardio-

vascular Disease)None Y

Carrie M Puckett, DO

PeaceHealth Sacred Heart Physicians - Cardiology - Bay Area Hospital 1775 Thomp-

son Rd, Coos Bay, OR. 97420 800-813-2000

F Y None Y

Carrie M Puckett, DO

PeaceHealth Sacred Heart Physicians - Cardiology -

Coos Bay 1900 Woodland Dr, Coos Bay, OR. 97420

800-813-2000

F Y None Y

Page 24: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 20 19415_9-19

Carrie M Puckett, DO

PeaceHealth Sacred Heart Physicians - Cardiology -

Florence 310 9th St, Florence, OR. 97439 800-813-2000

F Y None Y

Carrie M Puckett, DO

PeaceHealth Sacred Heart Physicians - Cardiology -

RiverBend 3311 RiverBend Dr, Springfield, OR. 97477

800-813-2000

F Y None Y

Jaishankar Raman, MBBS, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y NoneUrdu;

Tamil; Hin-di; French

Y

Richard D Reed, PA-C

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Victor M Rodriguez, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Surgery, AB Sur-gery (Gen Vascular)

None Y

David R Saenger, MD

PeaceHealth Sacred Heart Physicians - Cardiology - Bay Area Hospital 1775 Thomp-

son Rd, Coos Bay, OR. 97420 800-813-2000

M YAB Int Med (Cardio-

vascular Disease)None Japanese Y

David R Saenger, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Coos Bay 1900 Woodland Dr, Coos Bay, OR. 97420

800-813-2000

M YAB Int Med (Cardio-

vascular Disease)None Japanese Y

David R Saenger, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Florence 310 9th St, Florence, OR. 97439 800-813-2000

M YAB Int Med (Cardio-

vascular Disease)None Japanese Y

David R Saenger, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

RiverBend 3311 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M YAB Int Med (Cardio-

vascular Disease)None Japanese Y

Page 25: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 21 19415_9-19

William A Schelar, PA-C

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

Irving Shen, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y AB Thoracic Surgery None Y

Howard K Song, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YGeneral Surgery

AB Thoracic Surgery, AB Surgery

None Y

Mithran Sukumar, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Surgery, AB Tho-

racic SurgeryNone Tamil Y

H C Thomas, PA

Starr-Wood Cardiac Group of Portland, PC 9155 SW Barnes

Rd Ste 240, Portland, OR. 97225 800-813-2000

M Y None Y

Frederick A Tibayan, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Thoracic Surgery,

AB SurgeryNone Y

Brandon H Tieu, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y AB Surgery None Y

Matthew R Trojan, MD

PeaceHealth Sacred Heart Physicians - Cardiology - Bay Area Hospital 1775 Thomp-

son Rd, Coos Bay, OR. 97420 800-813-2000

M YAB Int Med (Advanced Heart Failure & Trans-

plant Cardiology)None Y

Matthew R Trojan, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Coos Bay 1900 Woodland Dr, Coos Bay, OR. 97420

800-813-2000

M YAB Int Med (Advanced Heart Failure & Trans-

plant Cardiology)None Y

Matthew R Trojan, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Florence 310 9th St, Florence, OR. 97439 800-813-2000

M YAB Int Med (Advanced Heart Failure & Trans-

plant Cardiology)None Y

Page 26: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 22 19415_9-19

Matthew R Trojan, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

RiverBend 3311 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M YAB Int Med (Advanced Heart Failure & Trans-

plant Cardiology)None Y

Ashok Venkataraman, MD

PeaceHealth Sacred Heart Physicians - Cardiovascular Surgery 3311 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

M Y AB Surgery None Y

Paul Wacek, PA

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M YNational Commission

on Certification of Phys Assistants, Inc

NoneTelugu; Hindi

Y

Daniel P Werle, NP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Elysha K Wiest, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Chi-Gang Yen, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

Child Psychology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Kyle P Johnson, MD

OHSU - Psychiatry Mar-riott 2115 SW River Park-way, Portland, OR. 97201

800-813-2000

M Y

AB Psych&Neuro (Psychiatry), AB

Psych&Neuro (Child Psych)

None Y

Kyle P Johnson, MD

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

M Y

AB Psych&Neuro (Psychiatry), AB

Psych&Neuro (Child Psych)

None Y

Page 27: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 23 19415_9-19

Kyle P Johnson, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y

AB Psych&Neuro (Psychiatry), AB

Psych&Neuro (Child Psych)

None Y

Clinical Psychology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Teni Davoudian, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Kate Herr, PsyD

Western Psychological & Counseling - Salmon Creek 2103 NE 129th St Ste 101,

Vancouver, WA. 98686 800-813-2000

F Y None Y

Kate Herr, PsyD

Western Psychological & Counseling - Vancouver 7507

NE 51st St, Vancouver, WA. 98662 800-813-2000

F Y None Y

Linda Lee, PsyD

Lee, Linda, PsyD dba Creative Holistic Counseling 13220 NW 33rd Ave, Vancouver, WA. 98685 800-813-2000

F Y None Y

Robert W McLellarn, PhD

Anxiety and Panic Treatment Center, LLC 5440 SW West-

gate Dr Ste 175, Portland, OR. 97221 800-813-2000

M Y None Y

Gary P Monkarsh, PhDMonkarsh, Gary P, PhD 14523 SW Westlake Dr, Lake Oswe-go, OR. 97035 800-813-2000

M Y None Y

Nancy G Nelson, PsyDNelson, Nancy G, PsyD, PC 117 NW 8th St, McMinnville,

OR. 97128 800-813-2000F Y None Y

Amanda V Weatherby, PhD

Thrive Psychological Ser-vices, PS 1101 Broadway Ste 230, Vancouver, WA. 98660

800-813-2000

F Y None Y

Page 28: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 24 19415_9-19

Deborah L Winer, PHD

Winer, Deborah L, PHD 10700 SW Beaverton Hillsdale Hwy

Ste 500, Beaverton, OR. 97005 800-813-2000

F Y None Y

Colon & Rectal Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Daniel Herzig, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Kim C Lu, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Anthony J Simons, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M YAB Surgery, AB Co-lon/Rectal Surgery

None Y

Vassiliki L Tsikitis, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Critical Care Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Andrea J King, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

F YAB Surgery, AB

Surgery (Surg Critical Care)

None Y

Darren J Malinoski, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Surgery, AB

Surgery (Surg Critical Care)

None Y

Page 29: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 25 19415_9-19

Ryan K McMahon, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Cytopathology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

John P DiTomasso, MD

Pathology Consultants, PC 123 International Way,

Springfield, OR. 97477 800-813-2000

M Y None Y

Dermatology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Vladislav Abaturov, FNPSilver Falls Dermatology, PC 1793 13th St SE, Salem, OR.

97302 800-813-2000M Y

American Academy of Nurse Practitioners

None Russian Y

David M Adelson, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

David M Adelson, MD

OHSU - Southlake Derma-tology 16699 Boones Ferry

Rd, Lake Oswego, OR. 97035 800-813-2000

M Y None Y

Diane L Baird, MD

Baird, Diane L, MD, PC - Florence Location 1441

7th St, Florence, OR. 97439 800-813-2000

F Y None Y

Diane L Baird, MDBaird, Diane L, MD, PC 360 S Garden Way Ste 210, Eugene,

OR. 97401 800-813-2000F Y None Y

Anna Bar, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Russian Y

Page 30: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 26 19415_9-19

Samuel F Bremmer, MDDermatology Clinic, PC 2441

Grear St NE, Salem, OR. 97301 800-813-2000

M Y None Y

Preston Chadwick, MDDermatology Clinic, PC 2441

Grear St NE, Salem, OR. 97301 800-813-2000

M Y None Y

Lara A Clayton, PA

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Scott A Collins, MDDermatology Associates, PC 10215 SW Hall Blvd, Tigard,

OR. 97223 800-813-2000M Y None Y

Joel H Datloff, MD

Dermatology Associates of Southwest Washington, PLLC

8614 E Mill Plain Blvd Ste 400, Vancouver, WA. 98664

800-813-2000

M Y None Y

Elizabeth S Dawson, MD

Dermatology Associates of Southwest Washington, PLLC

8614 E Mill Plain Blvd Ste 400, Vancouver, WA. 98664

800-813-2000

F YAmerican Board of

DermatologyNone Y

Cynthia Dreyer, MD

Dreyer, Cynthia A, MD, PC - Florence 1441 7th St, Florence, OR. 97439

800-813-2000

F Y None Y

Cynthia Dreyer, MDDreyer, Cynthia, MD, PC 743 Country Club Rd, Eugene, OR. 97401 800-813-2000

F Y None Y

Whitney Fancher, MD

Silver Falls Dermatology, PC - Gresham 831 NW Council Dr Ste 301, Gresham, OR. 97030

800-813-2000

F Y None Y

Whitney Fancher, MD

Silver Falls Dermatology, PC - Portland 12612 SE Stark St

Bldg M, Portland, OR. 97233 800-813-2000

F Y None Y

Page 31: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 27 19415_9-19

Kelli P Farm, FNP

Silver Falls Dermatology, PC - Gresham 831 NW Council Dr Ste 301, Gresham, OR. 97030

800-813-2000

F YAmerican Academy of

Nurse PractitionersNone Y

Kelli P Farm, FNP

Silver Falls Dermatology, PC - Portland 12612 SE Stark St

Bldg M, Portland, OR. 97233 800-813-2000

F YAmerican Academy of

Nurse PractitionersNone Y

Nicole M Fett, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Nicole M Fett, MD

OHSU - Southlake Derma-tology 16699 Boones Ferry

Rd, Lake Oswego, OR. 97035 800-813-2000

F Y None Y

Chong Wee Foo, MD

PeaceHealth Medical Group Oregon - Univ Dist Derma-tology 1200 Hilyard St Ste 520, Eugene, OR. 97401

800-813-2000

M Y None Y

Rebecca S Foreman, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

F Y None German Y

Tracy Funk, MD

OHSU - Southlake Derma-tology 16699 Boones Ferry

Rd, Lake Oswego, OR. 97035 800-813-2000

F Y None Y

Tracy Funk, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Michael Goodenberger, MD

Dermatology Clinic, PC 2441 Grear St NE, Salem, OR.

97301 800-813-2000M Y None Y

Sandra M Hadenfeld, ARNP, MN, FNP-C

Silver Falls Dermatology, PC - Gresham 831 NW Council Dr Ste 301, Gresham, OR. 97030

800-813-2000

F YAmerican Academy of

Nurse PractitionersNone Spanish Y

Page 32: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 28 19415_9-19

Jon Hanifin, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Eric Hester, MDDermatology Associates, PC 10215 SW Hall Blvd, Tigard,

OR. 97223 800-813-2000M Y

American Board of Dermatology

None Y

Lesa A Hill, PA-C

Dreyer, Cynthia A, MD, PC - Florence 1441 7th St, Florence, OR. 97439

800-813-2000

F YNational Commission

on Certification of Phys Assistants, Inc

None Y

Lesa A Hill, PA-CDreyer, Cynthia, MD, PC 743 Country Club Rd, Eugene, OR. 97401 800-813-2000

F YNational Commission

on Certification of Phys Assistants, Inc

None Y

Robert S Hopkins, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Joel A James, PA

Dermatology Clinic, PC, Keiz-er 5900 Inland Shores Way

N Ste 202, Keizer, OR. 97303 800-813-2000

M Y None Y

David M Kao, MDKao, David M, MD 6370 SW

Borland Rd Ste 200, Tualatin, OR. 97062 800-813-2000

M YAmerican Board of

DermatologyNone Y

Jesse J Keller, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Todd Knapp, MD

Silver Falls Dermatology, PC - Eugene - Eugene 920 Coun-try Club Rd Ste 140A, Eugene,

OR. 97401 800-813-2000

M Y AB Dermatology None Y

Erik Kokkonen, MDDermatology Clinic, PC 2441

Grear St NE, Salem, OR. 97301 800-813-2000

M Y None Y

Alfons L Krol, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y NoneGerman; French

Y

Page 33: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 29 19415_9-19

Alfons L Krol, MD

OHSU - Southlake Derma-tology 16699 Boones Ferry

Rd, Lake Oswego, OR. 97035 800-813-2000

M Y NoneGerman; French

Y

Sancy A Leachman, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Sancy A Leachman, MD

OHSU - Southlake Derma-tology 16699 Boones Ferry

Rd, Lake Oswego, OR. 97035 800-813-2000

F Y None Y

William Lear, MD

Silver Falls Dermatology, PC - Corvallis 2358 NW Kings Blvd Ste 100, Corvallis, OR. 97330

800-813-2000

M YAmerican Board of

DermatologyNone Y

William Lear, MD

Silver Falls Dermatology, PC - McMinnville 375 SE Norton Ln Ste C, McMinnville, OR. 97128

800-813-2000

M YAmerican Board of

DermatologyNone Y

William Lear, MDSilver Falls Dermatology, PC 1793 13th St SE, Salem, OR.

97302 800-813-2000M Y

American Board of Dermatology

None Y

Justin J Leitenberger, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Justin J Leitenberger, MD

OHSU - Southlake Derma-tology 16699 Boones Ferry

Rd, Lake Oswego, OR. 97035 800-813-2000

M Y None Y

Sabra M Leitenberger, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Jason Ling, PA-C

Silver Falls Dermatology, PC - Woodburn 685 Evergreen Rd, Woodburn, OR. 97071

800-813-2000

M YNational Commission

on Certification of Phys Assistants, Inc

None Y

Jason Ling, PA-CSilver Falls Dermatology, PC 1793 13th St SE, Salem, OR.

97302 800-813-2000M Y

National Commission on Certification of

Phys Assistants, IncNone Y

Page 34: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 30 19415_9-19

Edgar Maeyens, MDSilver Falls Dermatology, PC 1793 13th St SE, Salem, OR.

97302 800-813-2000M Y None Y

Stephen J Mannino, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

M YAmerican Board of

DermatologyNone Y

Sean C McElligott, MD

PeaceHealth Medical Group Oregon - Univ Dist Derma-tology 1200 Hilyard St Ste 520, Eugene, OR. 97401

800-813-2000

M Y None Y

Leslie W McStravick, PA

Dreyer, Cynthia A, MD, PC - Florence 1441 7th St, Florence, OR. 97439

800-813-2000

F YNational Commission

on Certification of Phys Assistants, Inc

None Y

Leslie W McStravick, PADreyer, Cynthia, MD, PC 743 Country Club Rd, Eugene, OR. 97401 800-813-2000

F YNational Commission

on Certification of Phys Assistants, Inc

None Y

Stephanie J Mengden Koon, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Lynne H Morrison, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Julia Obadiah, MDKao, David M, MD 6370 SW

Borland Rd Ste 200, Tualatin, OR. 97062 800-813-2000

F Y None Y

Christina T Oleson, PA

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Heather M Onoday, FNP

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Page 35: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 31 19415_9-19

Heather M Onoday, FNP

OHSU - Southlake Derma-tology 16699 Boones Ferry

Rd, Lake Oswego, OR. 97035 800-813-2000

F Y None Y

Franklin Parker, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Benjamin D Perry, NULL

Silver Falls Dermatology, PC - McMinnville 375 SE Norton Ln Ste C, McMinnville, OR. 97128

800-813-2000

M Y None Y

Benjamin D Perry, NULL

Silver Falls Dermatology, PC - Portland 12612 SE Stark St

Bldg M, Portland, OR. 97233 800-813-2000

M Y None Y

Benjamin D Perry, NULLSilver Falls Dermatology, PC 1793 13th St SE, Salem, OR.

97302 800-813-2000M Y None Y

Amanda J Pickert, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F YAmerican Board of

Dermatology, AB Der-matology (Pediatric)

None Y

Amanda J Pickert, MD

Portland Clinic The, LLP - Portland South Office 6640

SW Redwood Lane, Portland, OR. 97224 800-813-2000

F YAmerican Board of

Dermatology, AB Der-matology (Pediatric)

None Y

Rick D Pittman, MDSilver Falls Dermatology, LLC 1793 13th St SE, Salem, OR.

97302 800-813-2000M Y None Y

Phoebe Rich, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Janelle M Rohrback, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F YAmerican Board of

DermatologyNone Y

Margaret F Ross, ARNPSilver Falls Dermatology, PC 1793 13th St SE, Salem, OR.

97302 800-813-2000F Y

American Academy of Nurse Practitioners

None Y

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Page 32 19415_9-19

Kimberly B Sanders, PA

OHSU - Southlake Derma-tology 16699 Boones Ferry

Rd, Lake Oswego, OR. 97035 800-813-2000

F Y None Y

Kimberly B Sanders, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Eric L Simpson, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Jennifer Smith, NPSilver Falls Dermatology, PC 1793 13th St SE, Salem, OR.

97302 800-813-2000F Y None Y

Megan Smith, PA-CSilver Falls Dermatology, LLC 1793 13th St SE, Salem, OR.

97302 800-813-2000F Y None Y

Shashi Srinivasan, MDDermatology Clinic, PC 2441

Grear St NE, Salem, OR. 97301 800-813-2000

M Y None Y

Susan Tofte, FNP

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Amy Ullan, PA-CDermatology Clinic, PC 2441

Grear St NE, Salem, OR. 97301 800-813-2000

M Y None Y

Gretchen Vanderbeek, MDDermatology Associates, PC 10215 SW Hall Blvd, Tigard,

OR. 97223 800-813-2000F Y

American Board of Dermatology

None Y

Kevin P White, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M YDermato-pathology

None Y

Mark D Williams, PA-C

Silver Falls Dermatology, PC - Albany 1390 Waverly

Dr St SE, Albany, OR. 97322 800-813-2000

M YNational Commission

on Certification of Phys Assistants, Inc

None Y

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Page 33 19415_9-19

Mark D Williams, PA-C

Silver Falls Dermatology, PC - Corvallis 2358 NW Kings Blvd Ste 100, Corvallis, OR. 97330

800-813-2000

M YNational Commission

on Certification of Phys Assistants, Inc

None Y

Mark D Williams, PA-CSilver Falls Dermatology, PC 1793 13th St SE, Salem, OR.

97302 800-813-2000M Y

National Commission on Certification of

Phys Assistants, IncNone Y

Joshua B Wilson, NPSilver Falls Dermatology, LLC 1793 13th St SE, Salem, OR.

97302 800-813-2000M Y None Y

Kelly Wulf, PA-C

Dermatology Associates of Southwest Washington, PLLC

8614 E Mill Plain Blvd Ste 400, Vancouver, WA. 98664

800-813-2000

F Y None Y

Russell J Young III, MD

Silver Falls Dermatology, PC - Albany 1390 Waverly

Dr St SE, Albany, OR. 97322 800-813-2000

M Y None Y

Russell J Young III, MD

Silver Falls Dermatology, PC - McMinnville 375 SE Norton Ln Ste C, McMinnville, OR. 97128

800-813-2000

M Y None Y

Russell J Young III, MDSilver Falls Dermatology, PC 1793 13th St SE, Salem, OR.

97302 800-813-2000M Y None Y

Dermatopathology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

LaDessa M Christensen, NP

Silver Falls Dermatology, LLC 1793 13th St SE, Salem, OR.

97302 800-813-2000F Y None Y

Veselina B Korcheva, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y NoneFrench;

BulgarianY

Todd M Williams, FNPSilver Falls Dermatology, PC 1793 13th St SE, Salem, OR.

97302 800-813-2000F Y None Y

Page 38: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 34 19415_9-19

Emergency / Sports Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Lisa M Pomranky, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

F YAB Family Medicine

(MD), AB Family Pract (Sports Med)

None Y

Denise D Routhier, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

F YAB Emergency

MedicineNone Y

Endocrinology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Diana Aby-Daniel, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Andrew J Ahmann, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Ahnya Booze Love, NP

PeaceHealth Medical Group Oregon - Univ Dist Endo-crinology 1200 Hilyard St

Ste 550, Eugene, OR. 97401 800-813-2000

F Y None Y

Jessica R Castle, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Paul B Duell, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Page 39: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 35 19415_9-19

Joseph El Youssef, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Sergio Fazio, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Italian Y

Maria Fleseriu, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Priyanka C Iyer, MD

PeaceHealth Medical Group Oregon - Univ Dist Endo-crinology 1200 Hilyard St

Ste 550, Eugene, OR. 97401 800-813-2000

F Y None Y

Farahnaz S Joarder, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Robert F Klein, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Bethany Klopfenstein, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Stephen Lafranchi, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M Y None Spanish Y

Stephen Lafranchi, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Linda B Lester, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Page 40: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 36 19415_9-19

Donald L Loriaux, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

James Lundblad, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Dana Madison, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Christine E Olinghouse, FNP

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F YNational Certification

Board for Diabetes Educators

None Y

Christine E Olinghouse, FNP

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

F YNational Certification

Board for Diabetes Educators

None Y

Christine E Olinghouse, FNP

Portland Clinic The, LLP - Portland South Office 6640

SW Redwood Lane, Portland, OR. 97224 800-813-2000

F YNational Certification

Board for Diabetes Educators

None Y

Eric Orwoll, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Jonathan Purnell, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Matthew Riddle, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Mary Samuels, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 37 19415_9-19

Susan L Sanderson, MD

PeaceHealth Medical Group Oregon - Univ Dist Endo-crinology 1200 Hilyard St

Ste 550, Eugene, OR. 97401 800-813-2000

F Y None Y

Kathryn G Schuff, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Chaim Vanek, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Family Planning

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Kelley M Aurand, DO

LSC - Legacy Clinic Fishers Landing 16703 SE McGillivary Blvd Ste 120, Vancouver, WA.

98683 800-813-2000

F Y None Y

Kelley M Aurand, DO

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Family Practice

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Douglas D Bailey, MD

ICCO, LLC - Junction City Medical Clinic 355 W 3rd

Ave, Junction City, OR. 97448 800-813-2000

M YUrgent

CareNone N

Douglas D Bailey, MD

ICCO, LLC - Prime Care Partners Harrisburg 170 N

3rd St, Harrisburg, OR. 97446 800-813-2000

M YUrgent

CareNone N

Page 42: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 38 19415_9-19

James W Bayuk, MDAumsville Medical Clinic 205

Main St, Aumsville, OR. 97325 800-813-2000

M Y None N

James W Bayuk, MDCascade Medical Clinic 1375

N 10th Ave Ste B, Stayton, OR. 97383 800-813-2000

M Y None N

James W Bayuk, MD

Santiam Internal Medicine Clinic 1401 N 10th Ave Ste 200, Stayton, OR. 97383

800-813-2000

M Y None N

James W Bayuk, MD

Santiam Medical Associ-ates 1401 N 10th Ave Ste 100, Stayton, OR. 97383

800-813-2000

M Y None N

James W Bayuk, MDSantiam Medical Clinic 280 S 1st Ave, Mill City, OR. 97360

800-813-2000M Y None N

James W Bayuk, MDSublimity Medical Clinic 114 SE Church St, Sublimity, OR.

97385 800-813-2000M Y None N

Katherine L Beckstrand, MD

PeaceHealth - Santa Clara Clinic 2484 River Rd, Eugene,

OR. 97404 800-813-2000F Y

AB Family Medicine (MD)

None N

Tanya N Bedward, MDPeaceHealth - Santa Clara

Clinic 2484 River Rd, Eugene, OR. 97404 800-813-2000

F YAB Family Medicine

(MD)None Spanish N

Molly A Beilby, PA-C

Portland Clinic The, LLP - Portland South Office 6640

SW Redwood Lane, Portland, OR. 97224 800-813-2000

F YNational Commission

on Certification of Phys Assistants, Inc

None N

Micah S Bicker, PA-C

Orchid Oakridge Clinic, PC - Wade Creek Clinic 535 NE

6th Ave, Estacada, OR. 97023 800-813-2000

M Y None N

Laura K Bitts, MD

Portland Clinic The, LLP - Portland South Office 6640

SW Redwood Lane, Portland, OR. 97224 800-813-2000

F Y AB Family Practice None N

Page 43: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 39 19415_9-19

Amanda L Boice, PA-C

Portland Clinic - North-east Office 5005 NE Sandy Blvd, Portland, OR. 97213

800-813-2000

F Y None N

Margot Bolstad, DO

Mid-Columbia Family Phy-sicians, PS DBA NorthShore Medical Group 65371 Hwy

14, White Salmon, WA. 98672 800-813-2000

F Y None Y

Mitchell I Boriskin, FNP

ICCO, LLC - Five Rivers Family Practice 48134 Hwy 58, Oakridge, OR. 97463

800-813-2000

M YEmer-gency

MedicineNone N

Jackie Burman-Solgan, FNP

Sublimity Medical Clinic 114 SE Church St, Sublimity, OR.

97385 800-813-2000F Y None Y

Kerry B Callahan, MD

Portland Clinic The, LLP - East Medical Office 541 NE 20th Ave Ste 210, Portland, OR.

97232 800-813-2000

M NAB Family Medicine

(MD)None N

Kerry B Callahan, MD

Portland Clinic The, LLP - Northeast Office 5005 NE Sandy Blvd, Portland, OR.

97213 800-813-2000

M NAB Family Medicine

(MD)None N

Jennifer J Cannon, NPPeaceHealth Siuslaw - 380 9th

St 380 9th St, Florence, OR. 97439 800-813-2000

F Y None N

Thomas A Caton, MDPeaceHealth Siuslaw - 380 9th

St 380 9th St, Florence, OR. 97439 541-997-7134

M YAB Family Medicine

(MD)None N

Prasanna R Chandran, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F Y AB Family Practice None N

Jill J Chaplin, MDPeaceHealth - Santa Clara

Clinic 2484 River Rd, Eugene, OR. 97404 800-813-2000

F Y AB Family Medicine None N

Poonam W Chhibber, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F Y AB Family Medicine NoneHindi;

PunjabiN

Page 44: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 40 19415_9-19

Bryan Chitwood, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

M YAB Family Medicine

(MD)None N

Katherine Cousineau, PA

Mid-Columbia Family Phy-sicians, PS DBA NorthShore Medical Group 875 SW Rock

Creek Dr, Stevenson, WA. 98648 800-813-2000

F Y None Spanish N

Jonathan C Crist, MD

Portland Clinic - North-east Office 5005 NE Sandy Blvd, Portland, OR. 97213

800-813-2000

M YSports

Medicine

AB Family Medicine (MD), AB Family Pract

(Sports Med)None N

Jonathan C Crist, MD

Portland Clinic The, LLP - Ti-gard Medical Office 9250 SW Hall Blvd, Tigard, OR. 97223

800-813-2000

M YSports

Medicine

AB Family Medicine (MD), AB Family Pract

(Sports Med)None N

Kim Dang, MD

Santiam Medical Associ-ates 1401 N 10th Ave Ste 100, Stayton, OR. 97383

800-813-2000

M Y None N

Guesly Dessieux, DO

Santiam Medical Associ-ates 1401 N 10th Ave Ste 100, Stayton, OR. 97383

800-813-2000

M Y None French N

Anthony L Dodson, MDPeaceHealth Siuslaw - 390 9th

St 390 9th St, Florence, OR. 97439 800-813-2000

M YAB Family Medicine

(MD)None N

Charles P Essex, MD

Salem Health Medical Clinic - Monmouth 512 Main St Ste 300, Monmouth, OR. 97361

800-813-2000

M Y None N

Christopher Faison, MD

Mid-Columbia Family Phy-sicians, PS DBA NorthShore Medical Group 65371 Hwy

14, White Salmon, WA. 98672 800-813-2000

M YAB Family Medicine

(MD)None Spanish N

Timothy V Friedman, DOPeaceHealth Siuslaw - 380 9th

St 380 9th St, Florence, OR. 97439 800-813-2000

M Y None N

Page 45: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 41 19415_9-19

Mary Frodermann, FNPWillamina Health Center 1100 NE Oaken Hills Dr, Willamina,

OR. 97396 800-813-2000F Y None N

Julie Ann Galinato, MD

PeaceHealth Cottage Grove - Family Medicine 1515 Village Dr Ste 200, Cottage Grove, OR. 97424 800-813-2000

F YAB Family Medicine

(MD)None N

Alicia S Gimenez, MD

Mid-Columbia Family Phy-sicians, PS DBA NorthShore Medical Group 65371 Hwy

14, White Salmon, WA. 98672 800-813-2000

F YAB Family Medicine

(MD)None Spanish N

Lynn E Gower, DO

Santiam Internal Medicine Clinic 1401 N 10th Ave Ste 200, Stayton, OR. 97383

800-813-2000

F Y None N

Lucinda A Griffith, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F Y AB Family Medicine None Spanish N

Katrina C Groves Rehwaldt, MD

PeaceHealth Cottage Grove - Family Medicine 1515 Village Dr Ste 200, Cottage Grove, OR. 97424 800-813-2000

F Y AB Family Medicine None N

Scott T Hadden, MDAumsville Medical Clinic 205

Main St, Aumsville, OR. 97325 800-813-2000

M Y AB Family Medicine None N

John Hadley, DOSalem Health Medical Clinic - Dallas 591 SE Clay St, Dallas,

OR. 97338 800-813-2000M Y None N

Trisha Haskins, FNP

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F NAmerican Academy of

Nurse PractitionersNone N

Ehsan Hazrat, MD

PeaceHealth Cottage Grove - Ste 100 1515 Village Dr Ste

100, Cottage Grove, OR. 97424 800-813-2000

M YAB Family Medicine

(MD)None N

Tara L Heeney, DO

Portland Clinic The, LLP - Co-lumbia Office 5847 NE 122nd

Ave Ste 201, Portland, OR. 97230 800-813-2000

F Y None N

Page 46: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 42 19415_9-19

Tara L Heeney, DO

Portland Clinic The, LLP - Northeast Office 5005 NE Sandy Blvd, Portland, OR.

97213 800-813-2000

F Y None N

Monica Henderson, NP

Salem Health Medical Clinic - Woodburn 105 Arney Rd Ste 120, Woodburn, OR. 97071

800-813-2000

F Y None N

Aaron K Holmes, MDPeaceHealth Siuslaw - 390 9th

St 390 9th St, Florence, OR. 97439 800-813-2000

M YAB Family Medicine

(MD)None N

Ian M Horner, DO

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

M Y AB Family Medicine None N

Tanie Hotan, MDAumsville Medical Clinic 205

Main St, Aumsville, OR. 97325 800-813-2000

F Y AB Family Medicine None N

Jeff A Hughes, PAPeaceHealth Siuslaw - 380 9th

St 380 9th St, Florence, OR. 97439 800-813-2000

M N None N

Douglas P Jeffrey, MD

ICCO, LLC -Prime Care Part-ners Coburg 2280 Marcola Rd, Springfield, OR. 97477

800-813-2000

M Y None N

Leah M Jobson, PA

Portland Clinic The, LLP - East Medical Office 541 NE 20th Ave Ste 210, Portland, OR.

97232 800-813-2000

F NNational Commission

on Certification of Phys Assistants, Inc

None N

Leah M Jobson, PA

Portland Clinic The, LLP - Northeast Office 5005 NE Sandy Blvd, Portland, OR.

97213 800-813-2000

F NNational Commission

on Certification of Phys Assistants, Inc

None N

Ben D Johnson, PA-C

ICCO, LLC - Cottage Grove Medical Clinic 1445 Gateway

Blvd, Cottage Grove, OR. 97424 800-813-2000

F YUrgent

CareNone N

Page 47: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 43 19415_9-19

Dennis W Johnson, MD

East Meets West Medical, LLC DBA Mid-Willamette Family

Medicine - Scio Office 38829 N Main St, Scio, OR. 97374

800-813-2000

M YAB Family Medicine

(MD)None N

Dennis W Johnson, MD

East Meets West Medical, LLC DBA Mid-Willamette

Family Medicine 1050 29th Ave SW, Albany, OR. 97321

800-813-2000

M YAB Family Medicine

(MD)None N

Claire E King, MDCascade Medical Clinic 1375

N 10th Ave Ste B, Stayton, OR. 97383 800-813-2000

F Y None N

Francis Kovac, NP

ICCO, LLC - Veneta Medi-cal Clinic 87983 Territorial Hwy, Veneta, OR. 97487

800-813-2000

M Y None N

Roy A Laberge, MD

Mid-Columbia Family Phy-sicians, PS DBA NorthShore Medical Group 65371 Hwy

14, White Salmon, WA. 98672 800-813-2000

M YAB Family Medicine

(MD)None N

Jonathan Rafael J Lazaro, MD

PeaceHealth Cottage Grove - Ste 220 1515 Village Dr Ste

220, Cottage Grove, OR. 97424 800-813-2000

M YAB Family Medicine

(MD)None N

David H Lee, MD

Salem Health Medical Clinic - Woodburn 105 Arney Rd Ste 120, Woodburn, OR. 97071

800-813-2000

M YAB Family Medicine

(MD)None N

Brian M Lindeman, MD

Portland Clinic The, LLP - Co-lumbia Office 5847 NE 122nd

Ave Ste 201, Portland, OR. 97230 800-813-2000

M YAB Family Medicine

(MD)None N

Brian M Lindeman, MD

Portland Clinic The, LLP - Northeast Office 5005 NE Sandy Blvd, Portland, OR.

97213 800-813-2000

M YAB Family Medicine

(MD)None N

Joseph P Lulich, FNP-CSantiam Medical Clinic 280 S 1st Ave, Mill City, OR. 97360

800-813-2000M Y None Y

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Page 44 19415_9-19

Rebecca McBride, NP

PeaceHealth Cottage Grove - Family Medicine 1515 Village Dr Ste 200, Cottage Grove, OR. 97424 800-813-2000

F Y None N

Amelia M McConaghy, DO

Portland Clinic - North-east Office 5005 NE Sandy Blvd, Portland, OR. 97213

800-813-2000

F Y None N

Melissa L Moffett, PAPeaceHealth Siuslaw - 380 9th

St 380 9th St, Florence, OR. 97439 800-813-2000

F Y None N

Laura S Montez, PA-C

Orchid Oakridge Clinic, PC - Wade Creek Clinic 535 NE

6th Ave, Estacada, OR. 97023 800-813-2000

F YNational Commission

on Certification of Phys Assistants, Inc

None

Spanish; Ameri-

can Sign Language

N

Jennifer Moon, NPCanby Healthcare Clinic LLC 703 SE 1st Ave, Canby, OR.

97013 800-813-2000F Y

American Academy of Nurse Practitioners

NoneSpanish; Korean

N

Michael L Moser, MD

PeaceHealth Cottage Grove - Ste 100 1515 Village Dr Ste

100, Cottage Grove, OR. 97424 800-813-2000

M Y AB Internal Medicine None N

Allyson C Munson, NPCanby Healthcare Clinic, LLC 703 SE 1st Ave, Canby, OR.

97013 800-813-2000F Y None N

Lynn M Murphy, MD

Orchid Oakridge Clinic, PC - Wade Creek Clinic 535 NE

6th Ave, Estacada, OR. 97023 800-813-2000

F Y AB Family Medicine None N

Lynn M Murphy, MDOrchid Oakridge Clinic, PC

47815 OR-58, Oakridge, OR. 97463 800-813-2000

F Y AB Family Medicine None N

Joel P Myers, PA-COrchid Oakridge Clinic, PC

47815 OR-58, Oakridge, OR. 97463 800-813-2000

M YNational Commission

on Certification of Phys Assistants, Inc

None Spanish N

Stephanie A Naas, ARNP

Mid-Columbia Family Phy-sicians, PS DBA NorthShore Medical Group 875 SW Rock

Creek Dr, Stevenson, WA. 98648 800-813-2000

F Y None N

Page 49: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 45 19415_9-19

Richard S Nile, PAPeaceHealth Siuslaw - 380 9th

St 380 9th St, Florence, OR. 97439 800-813-2000

M N None N

Richard S Nile, PAPeaceHealth Siuslaw - 390 9th

St 390 9th St, Florence, OR. 97439 800-813-2000

M N None N

Rachel J Nosce, MD

ICCO, LLC-Nova Primary Care - Patterson 598 E 13th

Ave, Eugene, OR. 97401 800-813-2000

F Y AB Family Medicine None N

Sean Andrew D Orlino, MD

PeaceHealth - Santa Clara Clinic 2484 River Rd, Eugene,

OR. 97404 800-813-2000M Y

AB Family Medicine (MD)

None N

Justine Parker, DOPeaceHealth Siuslaw - 380 9th

St 380 9th St, Florence, OR. 97439 800-813-2000

F YAB Family Medicine

(MD)None N

Paul E Pearson, MDPeaceHealth Siuslaw - 390 9th

St 390 9th St, Florence, OR. 97439 800-813-2000

M YAB Family Medicine

(MD)None N

Thea E Petersen, MD

PeaceHealth Cottage Grove - Ste 220 1515 Village Dr Ste

220, Cottage Grove, OR. 97424 800-813-2000

F YAB Family Medicine

(MD)None N

Randolph J Pitts, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

M YAB Family Medicine

(MD)None N

Heather Posegate, NPPeaceHealth Siuslaw - 380 9th

St 380 9th St, Florence, OR. 97439 800-813-2000

F NAmerican Academy of

Nurse PractitionersNone N

Brett M Rath, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

M YAB Family Medicine

(MD)None German N

Brett M Rath, MD

Portland Clinic The, LLP - Portland South Office 6640

SW Redwood Lane, Portland, OR. 97224 800-813-2000

M YAB Family Medicine

(MD)None German N

Janjan A Reforma, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 541-222-8400

M YAB Family Medicine

(MD)None N

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Page 46 19415_9-19

Melissa C Rice, NP

ICCO, LLC - Nova Primary Care - Pleasant Hill 35859 Hwy 58, Pleasant Hill, OR.

97455 800-813-2000

F Y None N

Lauren W Roberts, MD

Portland Clinic The, LLP - East Medical Office 541 NE 20th Ave Ste 210, Portland, OR.

97232 800-813-2000

F N AB Family Medicine None N

Martin Roco, FNP

ICCO, LLC - Cottage Grove Medical Clinic 1445 Gateway

Blvd, Cottage Grove, OR. 97424 800-813-2000

M YUrgent

CareNone Tagalog N

Charles Ross, MDOrchid Oakridge Clinic, PC

47815 OR-58, Oakridge, OR. 97463 800-813-2000

M YAB Family Medicine

(MD)None N

Mildred H Rowley, MD

ICCO, LLC - Nova Primary Care - Florence 4480 G Hwy

101, Florence, OR. 97439 800-813-2000

F YAB Family Medicine

(MD)None N

Nathan M Ruden, MD

WVC - McMinnville Internal Medicine 254 NE Norton

Ln, McMinnville, OR. 97128 800-813-2000

M Y None N

Stacy M Rudy, PA-C

Portland Clinic The, LLP - Portland South Office 6640

SW Redwood Lane, Portland, OR. 97224 800-813-2000

F NNational Commission

on Certification of Phys Assistants, Inc

None N

Christopher P Samuels, MD

Mid-Columbia Family Phy-sicians, PS DBA NorthShore Medical Group 65371 Hwy

14, White Salmon, WA. 98672 800-813-2000

M YAB Family Medicine

(MD)None N

Katherine Sandstrom, FNP

Portland Clinic The, LLP - East Medical Office 541 NE 20th Ave Ste 210, Portland, OR.

97232 800-813-2000

F N None N

Katherine Sandstrom, FNP

Portland Clinic The, LLP - Northeast Office 5005 NE Sandy Blvd, Portland, OR.

97213 800-813-2000

F N None N

Page 51: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 47 19415_9-19

Michael Schiferl, MDSublimity Medical Clinic 114 SE Church St, Sublimity, OR.

97385 800-813-2000M Y None Y

Katherine J Schoonover, FNP

ICCO, LLC - Prime Care Part-ners Willamette 2710 Willa-

mette St, Eugene, OR. 97405 800-813-2000

F YUrgent

CareNone N

Jacquelyn L Serrano, MDPeaceHealth Siuslaw - 380 9th

St 380 9th St, Florence, OR. 97439 800-813-2000

F YAB Family Medicine

(MD)None N

Matthew A Shaw, MD

ICCO, LLC - Junction City Medical Clinic 355 W 3rd

Ave, Junction City, OR. 97448 800-813-2000

M YAB Family Medicine

(MD)None N

Jose Leonardo R Sioco III, MD

PeaceHealth - Santa Clara Clinic 2484 River Rd, Eugene,

OR. 97404 800-813-2000M Y

AB Family Medicine (MD)

NoneFilipino; Tagalog

N

Austin P Skelton, FNP

ICCO, LLC - Junction City Medical Clinic 355 W 3rd

Ave, Junction City, OR. 97448 800-813-2000

M YUrgent

CareNone N

Austin P Skelton, FNP

ICCO, LLC - Prime Care Partners Harrisburg 170 N

3rd St, Harrisburg, OR. 97446 800-813-2000

M YUrgent

CareNone N

Cynthia J Smith, DNP

ICCO, LLC - Junction City Medical Clinic 355 W 3rd

Ave, Junction City, OR. 97448 800-813-2000

M YUrgent

CareNone N

Cynthia J Smith, DNP

ICCO, LLC - Prime Care Partners Harrisburg 170 N

3rd St, Harrisburg, OR. 97446 800-813-2000

M YUrgent

CareNone N

Howard M Stein, DO

ICCO, LLC - Junction City Medical Clinic 355 W 3rd

Ave, Junction City, OR. 97448 800-813-2000

M YUrgent

CareNone N

Howard M Stein, DO

ICCO, LLC - Prime Care Partners Harrisburg 170 N

3rd St, Harrisburg, OR. 97446 800-813-2000

M YUrgent

CareNone N

Page 52: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 48 19415_9-19

Kimberly R Stober, NP

PeaceHealth Cottage Grove - Ste 220 1515 Village Dr Ste

220, Cottage Grove, OR. 97424 800-813-2000

F Y None N

Connie Strom, PA

NorthShore Medical Group - Stevenson 875 SW Rock Creek Dr, Stevenson, WA.

98648 800-813-2000

F Y None N

Connie Strom, PANorthShore Medical Group

65371 Hwy 14, White Salmon, WA. 98672 800-813-2000

F Y None N

Vicki J Swanson, FNP

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F Y None N

Lyle R Torguson, MD

ICCO, LLC - Pleasant Hill Medical Clinic 35859 Hwy

58, Pleasant Hill, OR. 97455 800-813-2000

M YUrgent

CareNone N

Ria Monica R Valencia, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F Y NoneTagalog; Filipino

N

Joseph D Volpi II, MDOrchid Oakridge Clinic, PC

47815 OR-58, Oakridge, OR. 97463 800-813-2000

M Y None N

Ty C Weber, NPAumsville Medical Clinic 205

Main St, Aumsville, OR. 97325 800-813-2000

M Y None Spanish Y

Andrew White, PA-C

Orchid Oakridge Clinic, PC - Wade Creek Clinic 535 NE

6th Ave, Estacada, OR. 97023 800-813-2000

M YNational Commission

on Certification of Phys Assistants, Inc

None N

Liette C Witherrite, MD

Mid-Columbia Family Phy-sicians, PS DBA NorthShore Medical Group 65371 Hwy

14, White Salmon, WA. 98672 800-813-2000

F YAB Family Medicine

(MD)None N

Page 53: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 49 19415_9-19

Liette C Witherrite, MD

NorthShore Medical Group - Stevenson 875 Rock Creek Dr, Stevenson, WA. 98648

800-813-2000

F YAB Family Medicine

(MD)None N

Troy R Witherrite, MD

Mid-Columbia Family Phy-sicians, PS DBA NorthShore Medical Group 65371 Hwy

14, White Salmon, WA. 98672 800-813-2000

M YAB Family Medicine

(MD)None N

Troy R Witherrite, MD

NorthShore Medical Group - Stevenson 875 Rock Creek Dr, Stevenson, WA. 98648

800-813-2000

M YAB Family Medicine

(MD)None N

Flora Yao, MD

East Meets West Medical, LLC DBA Mid-Willamette Family

Medicine - Scio Office 38829 N Main St, Scio, OR. 97374

800-813-2000

F YAB Family Medicine

(MD)None N

Flora Yao, MD

East Meets West Medical, LLC DBA Mid-Willamette

Family Medicine 1050 29th Ave SW, Albany, OR. 97321

800-813-2000

F YAB Family Medicine

(MD)None N

Gregory D Zuck, MD

Mid-Columbia Family Phy-sicians, PS DBA NorthShore Medical Group 65371 Hwy

14, White Salmon, WA. 98672 800-813-2000

F YAB Family Medicine

(MD)None N

Gregory D Zuck, MD

NorthShore Medical Group - Stevenson 875 Rock Creek Dr, Stevenson, WA. 98648

800-813-2000

F YAB Family Medicine

(MD)None N

Gastroenterology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Akash Ajmera, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M YAB Internal Med-icine, AB Int Med

(Gastroenterology)None Y

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Page 50 19415_9-19

Lamar Bryant, MDVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

M Y None Y

Matthew A Casimo, MDVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

M Y None Y

Michael F Chang, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Young K Choi, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

M YAB Int Med

(Gastroenterology)None Korean Y

Judith F Collins, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F YInternal

MedicineNone Y

Jaroslaw H Cymorek, MDVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

M Y None Polish Y

Shyam M Dang, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

Brintha K Enestvedt, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Jason P Etzel, MDVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

M Y None Y

Paul E Evans, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

M Y None Y

Michael B Fennerty, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 51 19415_9-19

Jonathan Gonenne, MD

Eugene Gastroenterology Consultants, PC 3355 River-

Bend Dr Ste 500, Springfield, OR. 97477 800-813-2000

M Y None Y

Vernon Hee, MDVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

M Y None Y

Katherine M Hoda, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Kyle Humphrey, PA-CVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

M Y None Y

Chris B Hyun, MD

Portland Clinic The, LLP - Ti-gard Medical Office 9250 SW Hall Blvd, Tigard, OR. 97223

800-813-2000

M YAB Int Med

(Gastroenterology)None Korean Y

Janice H Jou, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Anil B Kabrawala, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

Ronald M Katon, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Albert H Khine, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

M Y None Spanish Y

Albert H Khine, MD

Portland Clinic The, LLP - Ti-gard Medical Office 9250 SW Hall Blvd, Tigard, OR. 97223

800-813-2000

M Y None Spanish Y

Brent Y Lee, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 52 19415_9-19

Terrence C Lee, MD

Eugene Gastroenterology Consultants, PC 3355 River-

Bend Dr Ste 500, Springfield, OR. 97477 800-813-2000

M Y None Y

David Lieberman, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Rebecca Matro, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Kevin P Meitz, DOVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

M Y None Y

Shane J Mills, MD

Eugene Gastroenterology Consultants, PC 3355 River-

Bend Dr Ste 500, Springfield, OR. 97477 800-813-2000

M Y None Y

M A Mirhej, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

M Y None French Y

Jubeen Moaven, MD

Eugene Gastroenterology Consultants, PC 3355 River-

Bend Dr Ste 500, Springfield, OR. 97477 800-813-2000

M Y None Y

Willscott Naugler, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Jonathan R Sachs, MDVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

M Y None French Y

Anna Sasaki, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 53 19415_9-19

Davis L Sim, MD

Eugene Gastroenterology Consultants, PC 3355 River-

Bend Dr Ste 500, Springfield, OR. 97477 800-813-2000

M Y None Y

Samuel Sim, MD

Advanced Gastroenterology, PLLC 2415 NE 134th St Ste

205, Vancouver, WA. 98686 800-813-2000

M Y None Y

Amnon Sonnenberg, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Nandakumar Srinivasan, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

M Y None Y

Leigha Tingey, PA

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F Y None Y

Donald K Yang, MD

Eugene Gastroenterology Consultants, PC 3355 River-

Bend Dr Ste 500, Springfield, OR. 97477 800-813-2000

M Y None Y

Frank Yeh, MD

Advanced Gastroenterology, PLLC 2415 NE 134th St Ste

205, Vancouver, WA. 98686 800-813-2000

M Y None Y

Atif Zaman, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YInternal

MedicineNone Y

General Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Julie Agee, NP

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

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Page 54 19415_9-19

Carrie E Allison, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F YAB Surgery, AB

Surgery (Surg Critical Care)

None Y

Julie Allstot, PA

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Spanish Y

James K Barger, DO

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

Thomas H Bascom, MD

Northwest Surgical Special-ists, LLP 3355 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

M Y AB Surgery None Y

Ronald E Beresky, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y AB Surgery None Y

Edward J Bieniek, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

M Y AB Surgery None Y

Robert M Cahn, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y AB Surgery None Y

Alivia K Cetas, MD

LSC - Legacy Medical Group Surgical Oncology 2121 NE 139th St Ste 120, Vancouver,

WA. 98686 800-813-2000

F Y None Y

Katelyn A Clark, MD

Northwest Surgical Special-ists, LLP 3355 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

F Y None Y

Christine S Clarke, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Spanish Y

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Page 55 19415_9-19

George A Clarke, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

Andrew Cleary, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y AB Surgery None Y

Maggie M Conser, FNP

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

F Y None Y

Maggie M Conser, FNP

OHSU - Northwest Port-land Hematology Oncolo-gy 1130 NW 22nd Ave Ste 150, Portland, OR. 97210

800-813-2000

F Y None Y

Maggie M Conser, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Daniel A Cusati Oropeza, MD

Northwest Surgical Special-ists, LLP 3355 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

M Y None Y

David R Dehass, MD

Northwest Surgical Special-ists, LLP 3355 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

M Y None Y

Karen E Deveney, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y AB Surgery None German Y

Lynn Eastes, ACNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Mark J Eichler, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

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Page 56 19415_9-19

Loic J Fabricant, MD

Northwest Surgical Special-ists, LLP 3355 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

F Y None Y

Kelly A Fair, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y AB Surgery None Y

Mariko A Ferronato, DO

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Jessica M Folek, MD

PeaceHealth Sacred Heart Physicians - Bariatric - Riv-erBend 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F Y AB Surgery NoneGerman; Spanish;

PolishY

Mario D Forte, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y AB Surgery None Y

Erin W Gilbert, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Steven R Giss, MD

WVC - McMinnville Internal Medicine 254 NE Norton

Ln, McMinnville, OR. 97128 800-813-2000

M Y None Y

Andre D Grisham, MD

Portland Clinic The, LLP - Ti-gard Medical Office 9250 SW Hall Blvd, Tigard, OR. 97223

800-813-2000

M Y AB Surgery None Y

Winnie W Henderson, MD, PhD

Northwest Surgical Special-ists, LLP 3355 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

F Y None Y

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Page 57 19415_9-19

John G Hunter, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Farah A Husain, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y NoneUrdu;

SpanishY

Nichole K Ingalls, MD

Northwest Surgical Special-ists, LLP 3355 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

F Y None Y

Victoria Jakovec, ACNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Corey S Johnson, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

Marques S Johnson, MD

PeaceHealth Medical Group Siuslaw - General Surgery 330

9th St, Florence, OR. 97439 800-813-2000

M Y None Y

Christina M Joseph, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Christine M Katterhagen, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

F Y AB Surgery None Y

Laszlo N Kiraly, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y AB Surgery None Hungarian Y

Nicole M Kirker, ACNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 58 19415_9-19

Michael R Kolesnikov, FNP

OHSU - MPV Adult Periop-erative Medicine Clinic

3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

M Y None Y

Michael R Kolesnikov, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Christine F Kollmorgen, MD

Northwest Surgical Special-ists, LLP 3355 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

F Y None Y

Sandeep Kumar, MD

WVC - McMinnville Internal Medicine 254 NE Norton

Ln, McMinnville, OR. 97128 800-813-2000

M Y None Y

Camille Leider, FNP

Northwest Surgical Special-ists, LLP 3355 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

F Y None Y

Hsinchen J Lin, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y AB Surgery None Y

Travis A Littman, MD

Northwest Surgical Special-ists, LLP 3355 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

M Y None Y

Patricia Luckeroth, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y AB surgery None Y

Robert G Martindale, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 59 19415_9-19

Grant McClune, MD

PeaceHealth Medical Group Siuslaw - General Surgery 330

9th St, Florence, OR. 97439 800-813-2000

M Y None Y

Robert G McGreevy, MDSantiam General Surgery

1371 N 10th Ave, Stayton, OR. 97383 800-813-2000

M Y AB Surgery None Y

Kevin A Modeste, MBBS

Northwest Surgical Special-ists, LLP 3355 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

M Y None Y

Lauren E Myers, PA-C

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F YTransplant

SurgeryNone Y

Patrick O’Herron, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y AB Surgery None Y

Sean B Orenstein, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Rebecca W Peil, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Joshua D Pfeiffer, MD

PeaceHealth Sacred Heart Physicians - Bariatric - Riv-erBend 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

M Y AB Surgery None Y

Joshua D Pfeiffer, MD

PeaceHealth Sacred Heart Physicians - Bariatric - Rose-burg 2801 NW Mercy Dr Ste

350, Roseburg, OR. 97471 800-813-2000

M Y AB Surgery None Y

Rodney F Pommier, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 60 19415_9-19

Jordan M Raymer, MD

PeaceHealth Medical Group Siuslaw - General Surgery 330

9th St, Florence, OR. 97439 800-813-2000

F Y None Y

Matt H Reed, MD

Portland Clinic The, LLP - Ti-gard Medical Office 9250 SW Hall Blvd, Tigard, OR. 97223

800-813-2000

M Y AB Surgery None Y

Scott A Russi, MD

PeaceHealth Medical Group Siuslaw - General Surgery 330

9th St, Florence, OR. 97439 800-813-2000

M Y None Y

Martin A Schreiber, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Paul M Schumacher, MD

Northwest Surgical Special-ists, LLP 3355 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

M Y None Y

Craig S Seidman, MD

Northwest Surgical Special-ists, LLP 3355 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

M Y None Y

Meghan E Sells, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Jesse R Shaffer, PA-C

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M YNational Commission

on Certification of Phys Assistants, Inc

None Y

Matthew E Shepherd, MD

PeaceHealth Medical Group Siuslaw - General Surgery 330

9th St, Florence, OR. 97439 800-813-2000

M Y None Y

Alison Smith, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y AB Surgery None Y

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Page 61 19415_9-19

Paul R Stauffer, MD

PeaceHealth Medical Group Siuslaw - General Surgery 330

9th St, Florence, OR. 97439 800-813-2000

M Y None Y

Allyson H Sterling, DOSantiam General Surgery

1371 N 10th Ave, Stayton, OR. 97383 800-813-2000

F Y None Y

Rebecca J Theisen, PA-C

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Erin Thompson, MD

WVC - McMinnville Internal Medicine 254 NE Norton

Ln, McMinnville, OR. 97128 800-813-2000

F Y AB Surgery None Y

Nicole M Vanderheyden, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F YAB Surgery, AB

Surgery (Surg Critical Care)

None Y

Duc M Vo, MD

Northwest Surgical Special-ists, LLP 3355 RiverBend Dr

Ste 300, Springfield, OR. 97477 800-813-2000

M Y None Y

Sandra M Wanek, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F YAB Surgery, AB

Surgery (Surg Critical Care)

None Y

Lauren I Wikholm, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

F Y None Y

Ann M Wood, PA

OHSU - University Anes-thesiology Associates, LLC DBA OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Ann M Wood, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 62 19415_9-19

Genetics

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Raizie R Axman, LPC

Axman, Raizie R, MA, LPC, NCC 3325 N Interstate

Ave, Portland, OR. 97227 800-813-2000

F Y None French Y

Markus Grompe, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M YAB Medical Genetics, AB Medical Genetics

(Clinical Genetics)None German Y

Markus Grompe, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Medical Genetics, AB Medical Genetics

(Clinical Genetics)None German Y

Susan J Hayflick, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

F YAB Medical Genetics, AB Medical Genetics

(Clinical Genetics)None Y

Susan J Hayflick, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YAB Medical Genetics, AB Medical Genetics

(Clinical Genetics)None Y

Robb Moses, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M YAB Medical Genetics

(Clinical Genetics)None Y

Robb Moses, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Medical Genetics

(Clinical Genetics)None Y

Lynne M Mumaw, NP

PeaceHealth Medical Group Oregon - Barger Medical

Bldg Clinic 4010 Aerial Way, Eugene, OR. 97402

800-813-2000

F Y None Y

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Page 63 19415_9-19

Mark L Traines, MD

PeaceHealth Medical Group Oregon - Barger Medical

Bldg Clinic 4010 Aerial Way, Eugene, OR. 97402

800-813-2000

M YAB Internal Medicine, AB Int Med (Geriatric

Med)None Y

Geriatric Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Hsiang-Sen R Yeh, MDPeaceHealth - Santa Clara

Clinic 2484 River Rd, Eugene, OR. 97404 800-813-2000

M YAmerican Board of Internal Medicine

None

Taiwan-ese;

Mandarin (Chinese dialect)

N

Geriatric Psychiatry

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Christina Trevino, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Gynecological Oncology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Amanda S Bruegl, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y AB ObGyn None Y

Amanda S Bruegl, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y AB ObGyn None Y

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Page 64 19415_9-19

Jennifer Christiansen, PA

LSC - Legacy Salmon Creek Gynecology Oncology 2121 NE 139th St Ste 120, Vancou-ver, WA. 98686 800-813-2000

F Y None Y

Jennifer Christiansen, PA

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Jennifer Christiansen, PA

Northwest Cancer Specialists, PC dba Compass Oncolo-gy 9555 SW Barnes Rd Ste 150, Portland, OR. 97225

800-813-2000

F Y None Y

Caroline M Fung, PA

Northwest Cancer Specialists, PC dba Compass Oncolo-gy 9555 SW Barnes Rd Ste 150, Portland, OR. 97225

800-813-2000

F Y None Y

Anne A Gerard, PA-C

Northwest Cancer Specialists, PC dba Compass Oncolo-gy 9555 SW Barnes Rd Ste 150, Portland, OR. 97225

800-813-2000

F Y None Y

Jim A Gosewehr, MD

Northwest Cancer Specialists, PC dba Compass Oncolo-gy 9555 SW Barnes Rd Ste 150, Portland, OR. 97225

800-813-2000

M YAB ObGyn, AB ObGyn

(Gyn Oncology)None Y

Charlotte A Haws, PA-C

LSC - Legacy Salmon Creek Gynecology Oncology 2121 NE 139th St Ste 120, Vancou-ver, WA. 98686 800-813-2000

F Y None Y

Charlotte A Haws, PA-C

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

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Page 65 19415_9-19

Evonne M Kandas, NP

LSC - Legacy Salmon Creek Gynecology Oncology 2121 NE 139th St Ste 120, Vancou-ver, WA. 98686 800-813-2000

F Y None Y

Evonne M Kandas, NP

Northwest Cancer Specialists, PC dba Compass Oncolo-gy 9555 SW Barnes Rd Ste 150, Portland, OR. 97225

800-813-2000

F Y None Y

Lisa L McCluskey, MD

Northwest Cancer Specialists, PC dba Compass Oncolo-gy 9555 SW Barnes Rd Ste 150, Portland, OR. 97225

800-813-2000

F YGeneral Surgery

AB ObGyn, AB ObGyn (Gyn Oncology)

None Y

Colleen C McCormick, MD

LSC - Legacy Salmon Creek Gynecology Oncology 2121 NE 139th St Ste 120, Vancou-ver, WA. 98686 800-813-2000

F YAB ObGyn, AB ObGyn

(Gyn Oncology)None Y

Colleen C McCormick, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F YAB ObGyn, AB ObGyn

(Gyn Oncology)None Y

Colleen C McCormick, MD

Northwest Cancer Specialists, PC dba Compass Oncolo-gy 9555 SW Barnes Rd Ste 150, Portland, OR. 97225

800-813-2000

F YAB ObGyn, AB ObGyn

(Gyn Oncology)None Y

Elizabeth G Munro, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YAB ObGyn, AB ObGyn

(Gyn Oncology)None Spanish Y

Elizabeth G Munro, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F YAB ObGyn, AB ObGyn

(Gyn Oncology)None Spanish Y

Tanja Pejovic, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YObstetrics

& Gyne-cology

AB ObGyn, AB ObGyn (Gyn Oncology)

None

Swedish; Ser-

bo-Cro-atian;

French

Y

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Page 66 19415_9-19

R S Rushing, MD

Northwest Cancer Specialists, PC dba Compass Oncolo-gy 9555 SW Barnes Rd Ste 150, Portland, OR. 97225

800-813-2000

M YAB ObGyn, AB ObGyn

(Gyn Oncology)None Spanish Y

Erin Salinas, MD

Northwest Cancer Specialists, PC dba Compass Oncolo-gy 9555 SW Barnes Rd Ste 150, Portland, OR. 97225

800-813-2000

F Y AB ObGyn None Y

Sarah C Simons, PA-C

LSC - Legacy Salmon Creek Gynecology Oncology 2121 NE 139th St Ste 120, Vancou-ver, WA. 98686 800-813-2000

F Y None Y

Sarah C Simons, PA-C

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Sarah C Simons, PA-C

Northwest Cancer Specialists, PC dba Compass Oncolo-gy 9555 SW Barnes Rd Ste 150, Portland, OR. 97225

800-813-2000

F Y None Y

Paul C Tseng, MD

LSC - Legacy Salmon Creek Gynecology Oncology 2121 NE 139th St Ste 120, Vancou-ver, WA. 98686 800-813-2000

M Y AB ObGyn None Y

Paul C Tseng, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y AB ObGyn None Y

Weiya Wysham, MD

LSC - Legacy Salmon Creek Gynecology Oncology 2121 NE 139th St Ste 120, Vancou-ver, WA. 98686 800-813-2000

F Y AB ObGyn None Y

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Page 67 19415_9-19

Weiya Wysham, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y AB ObGyn None Y

Gynecology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Tricia M Child, MD

LSC - Legacy Medical Group Urogynecology 2121 NE

139th St Ste 304, Vancouver, WA. 98686 800-813-2000

F Y AB ObGyn None Y

Tricia M Child, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y AB ObGyn None Y

Audrey E Curtis, MD

LSC - Legacy Medical Group Urogynecology 2121 NE

139th St Ste 304, Vancouver, WA. 98686 800-813-2000

F Y

AB ObGyn (Female Pelvic Medicine & Re-constructive Surgery),

AB ObGyn

None Y

Audrey E Curtis, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y

AB ObGyn (Female Pelvic Medicine & Re-constructive Surgery),

AB ObGyn

None Y

Lisa A Egan, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Terresa S Jung, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

F YAmerican Board

of Obstetrics and Gynecology

None

Mandarin (Chinese dialect); Chinese

(General)

Y

Terresa S Jung, MD

Portland Clinic The, LLP - Portland South Office 6640

SW Redwood Lane, Portland, OR. 97224 800-813-2000

F YAmerican Board

of Obstetrics and Gynecology

None

Mandarin (Chinese dialect); Chinese

(General)

Y

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Page 68 19415_9-19

Randall S Lewis, MD

PeaceHealth Medical Group Oregon - Univ Dist Gyne-cology 1200 Hilyard St Ste

510, Eugene, OR. 97401 800-813-2000

M YObstetrics

& Gyne-cology

AB ObGyn None Y

Cynthia A Noble, MD

Noble, MD, PC, Cynthia A DBA Noble Womens

Healthcare 2298 NW Kings Blvd, Corvallis, OR. 97330

800-813-2000

F Y None Y

Lynn E Osmundsen, MD

LSC - Legacy Medical Group Urogynecology 2121 NE

139th St Ste 304, Vancouver, WA. 98686 800-813-2000

F Y

AB ObGyn (Female Pelvic Medicine & Re-constructive Surgery),

AB ObGyn

None Y

Lynn E Osmundsen, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y

AB ObGyn (Female Pelvic Medicine & Re-constructive Surgery),

AB ObGyn

None Y

William E Winter III, MD

LSC - Legacy Salmon Creek Gynecology Oncology 2121 NE 139th St Ste 120, Vancou-ver, WA. 98686 800-813-2000

M YAB ObGyn, AB ObGyn

(Gyn Oncology)None Y

William E Winter III, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M YAB ObGyn, AB ObGyn

(Gyn Oncology)None Y

William E Winter III, MD

Northwest Cancer Specialists, PC dba Compass Oncolo-gy 9555 SW Barnes Rd Ste 150, Portland, OR. 97225

800-813-2000

M YAB ObGyn, AB ObGyn

(Gyn Oncology)None Y

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Page 69 19415_9-19

Hematology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Bryon Allen, FNP

OHSU - Professional Medical Services, LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Bryon Allen, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Uma M Borate, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Diana E Brewer, PA

OHSU - Professional Medical Services, LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Diana E Brewer, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Andy I Chen, MD, PHD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Int Med (Medical

Oncology), AB Int Med (Hematology)

None Y

Alexey V Danilov, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Kim-Hien T Dao, DO, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y NoneVietnam-

eseY

Thomas G Deloughery, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 70 19415_9-19

Brandon Hayes-Lattin, MD

OHSU - Professional Medical Services, LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Brandon Hayes-Lattin, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Michael C Heinrich, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Ted Huang, MD

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

M Y None Y

Ted Huang, MD

OHSU - Northwest Port-land Hematology Oncolo-gy 1130 NW 22nd Ave Ste 150, Portland, OR. 97210

800-813-2000

M Y None Y

Ted Huang, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Jody L Kujovich, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

F Y None Y

Jody L Kujovich, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Charles Lopez, MD, PHD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 71 19415_9-19

Ashley D Manning, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Richard T Maziarz, MD

OHSU - Northwest Port-land Hematology Oncolo-gy 1130 NW 22nd Ave Ste 150, Portland, OR. 97210

800-813-2000

M Y None Y

Richard T Maziarz, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Eva Medvedova, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Gabrielle Meyers, MD

OHSU - Professional Medical Services, LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Gabrielle Meyers, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Laura F Newell, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None French Y

Craig Y Okada, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Kaitlyn M Peterson, ACPCNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YOncology,

medicalNone Y

Vinayak K Prasad, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

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Page 72 19415_9-19

Merav Sendowski, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Hebrew Y

Susan E Slater, FNP

OHSU - Northwest Port-land Hematology Oncolo-gy 1130 NW 22nd Ave Ste 150, Portland, OR. 97210

800-813-2000

F Y None Y

Susan E Slater, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Gary W Takahashi, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Kimberly B Tyler, ANP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Dong Xiang, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YOncology,

medicalNone

Mandarin (Chinese dialect)

Y

Kevin W Yee, MD

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

F Y None Y

Kevin W Yee, MD

OHSU - Northwest Port-land Hematology Oncolo-gy 1130 NW 22nd Ave Ste 150, Portland, OR. 97210

800-813-2000

F Y None Y

Kevin W Yee, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 73 19415_9-19

Hematology / Oncology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Jingjing Hu, MD

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

M Y NoneMandarin (Chinese dialect)

Y

Jingjing Hu, MD

OHSU - Northwest Port-land Hematology Oncolo-gy 1130 NW 22nd Ave Ste 150, Portland, OR. 97210

800-813-2000

M Y NoneMandarin (Chinese dialect)

Y

Jingjing Hu, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y NoneMandarin (Chinese dialect)

Y

Michael A Savin, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y NoneSpanish; German

Y

Michael A Savin, MD

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

M Y NoneSpanish; German

Y

Emma C Scott, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y NoneSpanish; French

Y

Hematology/Pathology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Samir B Desai, MD

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

M YAB Int Med (Hema-tology), AB Int Med (Medical Oncology)

None Y

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Page 74 19415_9-19

Samir B Desai, MD

OHSU - Northwest Port-land Hematology Oncolo-gy 1130 NW 22nd Ave Ste 150, Portland, OR. 97210

800-813-2000

M YAB Int Med (Hema-tology), AB Int Med (Medical Oncology)

None Y

Samir B Desai, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Int Med (Hema-tology), AB Int Med (Medical Oncology)

None Y

Hepatology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Joseph Ahn, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Korean Y

Infectious Disease

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Phil H Alday, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Paul R Cieslak, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Jason D Cronin, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

M Y None Y

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Page 75 19415_9-19

Joseph S Doggett, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Kimberly K Felder, PA-C

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Graeme N Forrest, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Morgan B Hakki, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Marissa M Maier, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

George C Mejicano, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

William B Messer, MD,PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Melissa R Nyendak, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Brenda M Ormesher, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F Y None Y

Robert K Pelz, MD

PeaceHealth Sacred Heart Physicians - Bariatric - Riv-erBend 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F YCritical

Care Medicine

None Thai Y

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Page 76 19415_9-19

Kailing P Perez, MD

PeaceHealth Sacred Heart Physicians - Bariatric - Riv-erBend 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

M Y None Y

Christopher D Pfeiffer, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None German Y

Lynne Strasfeld, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Luke C Strnad, MD

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

M Y None Y

Luke C Strnad, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

John Townes, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Intensive/Critical Care

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Nasrollah Ahmadpour, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

Amit Mehta, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Pediatrics, AB Pe-diatrics (Critical Care

Med)None Y

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Page 77 19415_9-19

Yun Long Ong, ACNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Hilary A Shreves, ACNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Brian D Wetzel, ACNP

Northwest Acute Care Spe-cialists, PC 825 NE Mult-

nomah Ste 240, Portland, OR. 97232 800-813-2000

M Y None Y

Brian D Wetzel, ACNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Internal Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Mark G Bates, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

M YNephrol-

ogyNone N

Elizabeth Belanger, MD

Portland Clinic The, LLP - East Medical Office 541 NE 20th Ave Ste 210, Portland, OR.

97232 800-813-2000

F Y None N

Elizabeth Belanger, MD

Portland Clinic The, LLP - Northeast Office 5005 NE Sandy Blvd, Portland, OR.

97213 800-813-2000

F Y None N

Elaine Callahan, MD

ICCO, LLC - Cottage Grove Medical Clinic 1445 Gateway

Blvd, Cottage Grove, OR. 97424 800-813-2000

F YUrgent

CareNone N

Clifford L Cooper, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

M Y None N

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Page 78 19415_9-19

Robert C Crouse, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

M Y None N

Stephanie N D’Andrea, NP

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

F YAmerican Nurses Cre-

dentialing CenterNone N

Reewen C D’Souza-Kamath, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

M Y None N

Thomas S Dudrey, MD

Portland Clinic - Down-town Office 800 SW 13th Ave, Portland, OR. 97205

800-813-2000

M Y None N

Christopher Evans, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Marni L Foley, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F N None N

Thomas D Gilberts, MD

Santiam Internal Medicine Clinic 1401 N 10th Ave Ste 200, Stayton, OR. 97383

800-813-2000

M Y AB Internal Medicine None N

Nazmul Hoque, MD

WVC - McMinneville Internal Medicine 254 NE Norton

Ln, McMinneville, OR. 97128 800-813-2000

M Y AB Internal Medicine None N

Douglas R Johnson, DOPeaceHealth Siuslaw - 380 9th

St 380 9th St, Florence, OR. 97439 800-813-2000

M Y None N

Gary S Kim, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

M Y None N

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Page 79 19415_9-19

Richard K Kimani, MD

WVC - McMinnville Internal Medicine 254 NE Norton

Ln, McMinnville, OR. 97128 800-813-2000

M Y AB Internal Medicine None N

Benjamin Lee, DOSantiam Cardiology Clinic

1371 N 10th Ave, Stayton, OR. 97383 800-813-2000

M Y AB Internal Medicine None N

Jungeun Lee, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F Y None N

Chandni Merchant, MD

WVC - McMinnville Internal Medicine 254 NE Norton

Ln, McMinnville, OR. 97128 800-813-2000

F Y AB Internal Medicine None N

Ahmad Mohamad, MD

WVC - McMinnville Internal Medicine 254 NE Norton

Ln, McMinnville, OR. 97128 800-813-2000

M Y AB Internal Medicine None N

Cristina Fe G Mondragon, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

F YInfectious Disease

None Tagalog N

Elmer Paredes, PAPeaceHealth Siuslaw - 380 9th

St 380 9th St, Florence, OR. 97439 800-813-2000

M N None N

Sangkun Park, MD

Columbia Pacific Medical Services 2120 Exchange St Ste 200, Astoria, OR. 97103

800-813-2000

M Y None

Korean; Japanese; German;

Arabic

N

Ann Marie Paulsen, MD

Portland Clinic The, LLP - Portland South Office 6640

SW Redwood Lane, Portland, OR. 97224 800-813-2000

F Y None N

Laura M Sage, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

F Y None N

James R Stier, MD

WVC - Willamette Valley Hospitalists 2700 SE Stratus

Ave Ste 303, McMinnville, OR. 97128 800-813-2000

M Y None Y

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Page 80 19415_9-19

Timothy C Thunder, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

M N None N

Brian S Trafficante, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

M Y None Spanish N

Rebekah A Trochmann, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F Y None N

Yasuyo D Umene, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

F Y None N

Richa Uppal, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

F N NoneHindi; Urdu;

PunjabiN

Eduardo Vides, MD

Portland Clinic The, LLP - Northeast Office 5005 NE Sandy Blvc, Portland, OR.

97213 800-813-2000

M Y AB Internal Medicine None N

Zuzanna M Wieckowska, MD

PeaceHealth Cottage Grove - Ste 100 1515 Village Dr Ste

100, Cottage Grove, OR. 97424 800-813-2000

F Y None N

Marriage/Family Therapist

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Robert Lewis, MABabe, R Scott, MD, LLC 2264 McGilchrist St SE Ste 100, Sa-lem, OR. 97302 800-813-2000

M Y None Y

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Page 81 19415_9-19

Justin G Little, LMFT

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

M Y None Y

Justin G Little, LMFT

Real Life Counseling, PLLC- Battle Ground 209 E Main St Ste 121, Battle Ground, WA.

98604 800-813-2000

M Y None Y

Justin G Little, LMFT

Real Life Counseling, PLLC- West Vancouver 3606 Main St, Vancouver, WA. 98663

800-813-2000

M Y None Y

Maternal & Fetal Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Carey Winkler, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M YObstetrics

& Gyne-cology

AB ObGyn (Maternal/Fetal Med), AB ObGyn

None Spanish Y

Maxillofacial Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Jennifer Thompson, LMT

Revive Injury and Wellness PC 1750 Blankenship Rd Ste 295, West Linn, OR. 97068

800-813-2000

F Y None Y

Medical Genetics

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Olivia Pierson, LMT

Evolution Healthcare and Fitness 905 SE Ankeny St, Portland, OR. 97214

800-813-2000

F YMassage Therapy

None Y

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Page 82 19415_9-19

Jonathan Zonana, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M YAB Medical Genetics (Clinical Genetics, AB

PediatricsNone Y

Jonathan Zonana, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Medical Genetics (Clinical Genetics, AB

PediatricsNone Y

Mental Health

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Ryan Adams, LCSW

Vista Counseling and Con-sultation, Inc - Willamette St Annex 1852 Willamette

St, Eugene, OR. 97401 800-813-2000

M Y None N

Johnathan S Adelstein, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

James T Akins, NP

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 200 1200 Hil-yard St Ste 200, Eugene, OR.

97401 800-813-2000

M Y None N

Normund J Akots, PhD

Akots, Normund J, PhD 10200 SW Eastridge St Ste 101, Portland, OR. 97225

800-813-2000

M Y None Y

Joseph Alexander, LCSWCounseling on Burnside, Inc 2303 E Burnside St, Portland,

OR. 97214 800-813-2000M Y None Y

Anna M Anderson, PMHNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 83 19415_9-19

Paige S Anderson, PMHNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Lorri L Asder, LPC

Portland Trauma Recovery, LLC 2105 NE Cesar E Chavez Blvd Ste 200, Portland, OR.

97212 800-813-2000

F Y None Y

Kevin J Ashworth, LPCNW Anxiety Institute, LLC 32 NE 11th Ave, Portland, OR.

97232 800-813-2000M Y None Y

Jodie J Bagley, LPC

Bridge City Counseling 712 SE Hawthorne Blvd Ste 100, Portland, OR. 97214

800-813-2000

F Y None Y

Nathanael Bagley, LPC

Bridge City Counseling 712 SE Hawthorne Blvd Ste 100, Portland, OR. 97214

800-813-2000

M Y None Y

Steven Baker, LPC, MAC, CADC II

Portland Relationship Insti-tute LLC, dba Counseling Services of Portland- East

Side Office 10424 SE Cherry Blossom Dr Ste D, Portland,

OR. 97216 800-813-2000

M Y None Y

Lindsay E Balboa, CSWA

Firefly Counseling Services, PC 4950 NE Belknap Ct Ste 205, Hillsboro, OR. 97124

800-813-2000

M Y None Spanish Y

Haley D Bales, MEd, LMFT

Vista Counseling and Con-sultation, Inc - Willamette St Annex 1852 Willamette

St, Eugene, OR. 97401 800-813-2000

F Y None Spanish N

Haley D Bales, MEd, LMFT

Vista Counseling and Con-sultation, Inc 1531 Pearl St, Eugene, OR. 97401

800-813-2000

F Y None Spanish N

David M Ball, LMFT

Behavioral Health Center, LLC 399 East 10th Ave Ste

113, Eugene, OR. 97401 800-813-2000

M Y None N

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Page 84 19415_9-19

Barbara M Balowitz, LCSW

Balowitz, Barbara M, LCSW 4035 12th St Cutoff SE Ste

140, Salem, OR. 97302 800-813-2000

F Y None Y

John A Barnes, LCSWBarnes, John, LCSW 1306 SW

Bertha Blvd, Portland, OR. 97219 800-813-2000

M Y None Y

Michael P Beaver, LCSWBeaver, Michael, LCSW, BCD 2367 State St Ste 100, Salem,

OR. 97301 800-813-2000M Y None Y

Catherine Beckett, LCSWBeckett, Catherine, LCSW

3325 NE Wasco St, Portland, OR. 97232 800-813-2000

F Y None Y

Samantha K Beckmann, LICSW

NT Cares LLC- Vancouver 750 Officers Row, Vancouver, WA.

98661 800-813-2000F Y None Y

Amy M Beene, LPC

Northwest Counseling Asso-ciates, LLC 3000 NW Stucki Ave Ste 150, Hillsboro, OR.

97124 800-813-2000

F Y None Y

Katrin Beene, PsyD

Transitions Professional Center, LLC 3735 SW River

Parkway, Portland, OR. 97239 800-813-2000

F Y None Y

Melissa Bensink, LCSW

Straight From the Heart, Inc 5404 N Montana

Ave, Portland, OR. 97217 800-813-2000

F Y None Y

Carlene Benson, LCSWBenson, Carlene, LCSW 3000 Market St NE Ste 414, Salem,

OR. 97301 800-813-2000F Y None Y

Ruth Berger, LCSWCounseling on Burnside, Inc 2303 E Burnside St, Portland,

OR. 97214 800-813-2000F Y None Y

Rosimery Bergeron, MS, CRC, LPC

Bergeron, Rosimery, MS, CRC, LPC DBA Rosimery

Bergeron Counseling 177 Whitman St S, Monmouth, OR. 97361 800-813-2000

F Y NoneSpanish;

Portu-guese

Y

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Page 85 19415_9-19

Eric W Bergreen, PsyD

Willamette Valley Family Center, LLC 610 Jefferson

St, Oregon City, OR. 97045 800-813-2000

M Y None Y

Sandra H Bero, MA, LMHC

Bero, Sandra H, LMHC, NCC dba Sandra Hunt Bero

Counseling 108 SE 124th Ave, Vancouver, WA. 98684

800-813-2000

F Y None Y

Steven D Besing, PhDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y None Y

Steven D Besing, PhD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

William E Betts, PMHNP

Betts Psychiatric, PC 911 Country Club Rd Ste

340, Eugene, OR. 97401 800-813-2000

M YAmerican Nurses Cre-

dentialing CenterNone N

Julie E Bingham, PhDBingham, Julie, PhD 528 Cot-tage St NE Ste 1D, Salem, OR.

97301 800-813-2000F Y None Y

Jessica L Binkley, PsyD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F Y None N

Lisa A Bitikofer, LCSWBitikofer, Lisa A, LCSW 145

Wilson St S, Salem, OR. 97302 800-813-2000

F Y None Y

Laurie Bloomquist, MA, LPC

Living Hope Counseling, LLC 3310 SE Division St, Portland,

OR. 97202 800-813-2000F Y None Y

Patricia Blumenthal, PSYD

Portland Clinic The, LLP - East Medical Office 541 NE 20th Ave Ste 210, Portland, OR.

97232 800-813-2000

F Y None N

Patricia Blumenthal, PSYD

Portland Clinic The, LLP - Northeast Office 5005 NE Sandy Blvd, Portland, OR.

97213 800-813-2000

F Y None N

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Page 86 19415_9-19

Benjamin R Bock, PhD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 420 1200 Hil-yard St Ste 420, Eugene, OR.

97401 800-813-2000

M Y None N

Rene K Bohannon-Oxford, LMHC

Northwest Psychological Resources, LLC 945 11th

Ave, Longview, WA. 98632 800-813-2000

F Y None Y

Allison D Bonifay, LPCNW Anxiety Institute, LLC 32 NE 11th Ave, Portland, OR.

97232 800-813-2000F Y None Y

Kelly L Brachman, LCSW

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

F Y None Y

Christa Brandenburg, LPCBrandenburg, Christa, LPC

229 NE Cowls St, McMinnville, OR. 97128 800-813-2000

F Y None Y

Lisa M Brauer, LCSW

Vista Counseling and Con-sultation, Inc 1551 Pearl St, Eugene, OR. 97401

800-813-2000

F Y None Y

Michael Brooke, PsyD

Brooke Psychologists, LLC - Vancouver Location 400 E Evergreen Blvd Ste

208, Vancouver, WA. 98660 800-813-2000

M Y None Y

Michael Brooke, PsyD

Brooke Psychologists, LLC 516 SE Morrison St Ste

1010, Portland, OR. 97214 800-813-2000

M Y None Y

Nancy E Broskie, MD

Broskie, Nancy E, MD 525 Glen Creek Rd NW Ste 240, Salem, OR. 97304

800-813-2000

F Y None Y

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Page 87 19415_9-19

Elizabeth Brown, BCBA

Western Psychological & Counseling - Tualatin 18765

SW Boones Ferry Rd Ste 100, Tualatin, OR. 97062

800-813-2000

F Y None Y

Scott Brown, LCSW

Morrison Child and Family Services 11035 NE Sandy Blvd, Portland, OR. 97220

800-813-2000

M Y None Y

Jessica M Brunelle, MA, LPC

Portland Relationship Insti-tute LLC, dba Counseling

Services of Portland 7100 SW Hampton St Ste 128, Tigard,

OR. 97223 800-813-2000

F Y None Y

Jessica M Brunelle, MA, LPC

Portland Relationship Insti-tute LLC, dba Counseling Services of Portland- East

Side Office 10424 SE Cherry Blossom Dr Ste D, Portland,

OR. 97216 800-813-2000

F Y None Y

Nathan Bryson, LCSW

Kaizen Consulting, LLC 4842 SW Scholls Ferry

Rd, Portland, OR. 97225 800-813-2000

M Y None Y

Alison Burgess, BCBA

Western Psychological & Counseling - Tualatin 18765

SW Boones Ferry Rd Ste 100, Tualatin, OR. 97062

800-813-2000

F Y None Y

Theresa Burke, LCSW

Vista Counseling and Con-sultation, Inc 1551 Pearl St, Eugene, OR. 97401

800-813-2000

F Y None Y

Carol Butler-Paisley, PMHNP

Western Psychological & Counseling - Cornell West 1500 NW Bethany Blvd Ste 320, Beaverton, OR. 97006

800-813-2000

F Y None Y

Carol Butler-Paisley, PMHNP

Western Psychological & Counseling - Hillsboro 8280

NE Mauzey Ct, Hillsboro, OR. 97124 800-813-2000

F Y None Y

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Page 88 19415_9-19

Carol Butler-Paisley, PMHNP

Western Psychological & Counseling - Tigard 7455

SW Beveland St, Tigard, OR. 97223 800-813-2000

F Y None Y

Carol Butler-Paisley, PMHNP

Western Psychological & Counseling Services, PC 880 SE 82nd Dr, Gladstone, OR.

97027 800-813-2000

F Y None Y

Azanet Cabezas, PsyD

Balance Center for Children and Families, LLC 7440 SW

Hunziker Rd Ste F, Tigard, OR. 97223 800-813-2000

F Y None Spanish Y

Jennifer Carley, PMHNP

True North, PC Therapeutic Options for Mental Health 4035 12th St Cutoff SE Ste

120, Salem, OR. 97302 800-813-2000

F YAmerican Nurses Cre-

dentialing CenterNone Y

Michael A Carlip, MS, BCBA

Centria Healthcare, LLC 1800 NW 167th Pl Ste 115, Beaver-

ton, OR. 97006 800-813-2000M Y None Y

Asa R Carlson, LPC

Vista Counseling and Con-sultation, Inc 1531 Pearl St, Eugene, OR. 97401

800-813-2000

M Y None N

Anne Carroll, LPCCarroll, Anne M, LLC 1443

Commercial St SE, Salem, OR. 97302 800-813-2000

F Y None Y

Anne Carroll, LPC

New Perspectives Center - Winter St NE 1675 Winter St NE, Salem, OR. 97301

800-813-2000

F Y None Y

Anne Carroll, LPCNew Perspectives Center 565 Union St NE Ste 105, Salem,

OR. 97301 800-813-2000F Y None Y

Ryan Catarius, MSW, QMHP

ABC House 1054 SW 29th Ave, Albany, OR. 97321

800-813-2000M Y None Y

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Page 89 19415_9-19

Jeffrey L Causey, LMHC

Thrive Psychological Ser-vices, PS 1101 Broadway Ste 230, Vancouver, WA. 98660

800-813-2000

M YAnesthesi-

ologyNone Y

Jill S Cawley, LCSWCawley, Jill S, LCSW 1104

Main St Ste M110, Vancouver, WA. 98660 800-813-2000

F Y None Y

Malgosia Z Cegielski, PhDCegielski, Malgosia, PhD 8515

SW 61st Ave, Portland, OR. 97219 800-813-2000

F Y None Polish Y

Douglas Chapman, LPCDBT Clinic, PC, The 2104 SE Morrison St, Portland, OR.

97214 800-813-2000M Y None Y

Allan F Chino, PhDChino, Allan, PhD 6745 SW

Hampton St Ste 200, Tigard, OR. 97223 800-813-2000

M Y None Y

Tracy Christ, MA

Portland Relationship Insti-tute LLC, dba Counseling

Services of Portland 7100 SW Hampton St Ste 128, Tigard,

OR. 97223 800-813-2000

F Y None Y

Nicole H Cirino, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Casey L Claypool, MA

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

F Y None Y

Casey L Claypool, MA

Real Life Counseling, PLLC- Battle Ground 209 E Main St Ste 121, Battle Ground, WA.

98604 800-813-2000

F Y None Y

Casey L Claypool, MA

Real Life Counseling, PLLC- West Vancouver 3606 Main St, Vancouver, WA. 98663

800-813-2000

F Y None Y

Galen Cohen, LPC

Reflections Counseling, LLC 4531 SE Belmont St Ste

310, Portland, OR. 97215 800-813-2000

M Y None Y

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Page 90 19415_9-19

Galen Cohen, LPC

Straight From the Heart, Inc 5404 N Montana

Ave, Portland, OR. 97217 800-813-2000

M Y None Y

Brian Comer, LPC

Portland DBT Institute, Inc 5200 SW Macadam Ste

580, Portland, OR. 97239 800-813-2000

M Y None Y

Suki K Conrad, MD

Trillium Family Services, Inc- Day Program at Wake Robin 4455 NE Hwy 20, Corvallis, OR. 97330 800-813-2000

F Y None Y

Norvin R Cooley, PhD

Willamette Valley Family Center, LLC 610 Jefferson

St, Oregon City, OR. 97045 800-813-2000

M Y None Y

Rachelle Cornelius, MA

Creative Spirit Counsel-ing, LLC 1355 W 13th

Ave, Eugene, OR. 97402 800-813-2000

F Y None Y

Martha Corona, LCSW

Corona, Martha, LCSW, LLC 7611 N Washburne

Ave, Portland, OR. 97217 800-813-2000

F Y None Spanish Y

Jennifer E Costello, LCSW

Ruth Exley, LCSW dba Re-store Therapy, LLC 1235 SE

Morrison St Ste 100, Portland, OR. 97214 800-813-2000

F Y None Y

Nicole E Cotto, LCSW

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 460 1200 Hil-yard St Ste 460, Eugene, OR.

97401 800-813-2000

F Y None N

Laurie Cox, LCSWCox, Laurie, LCSW 3939 NE

Hancock St Ste 201, Portland, OR. 97212 800-813-2000

F Y None Y

John Coyle, LCSW

Western Psychological & Counseling - Vancouver 7507

NE 51st St, Vancouver, WA. 98662 800-813-2000

M Y None Y

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Page 91 19415_9-19

Dana D Crane, MSGood Sense Counseling, LLC 2425 13th St SE 1, Salem, OR.

97302 800-813-2000F Y None Y

Cachelle Cronin, LMHC

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

F Y None Y

Neisha A DSouza, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Michelle Dague, LCSW, QMHP

Dague, Michelle, LCSW, QMHP 388 State St, Salem, OR. 97301 800-813-2000

F Y None Y

Elizabeth C Davis, BCBA

Western Psychological & Counseling - Tualatin 18765

SW Boones Ferry Rd Ste 100, Tualatin, OR. 97062

800-813-2000

F Y None Y

Peter C Davis, LCSW

Davis, Peter C, LCSW dba Davipete LLC 445 Union St

NE Ste 202, Salem, OR. 97301 800-813-2000

M Y None Spanish Y

Maureen E DeLongis, LCSW

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

F Y None Y

Maureen E DeLongis, LCSW

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Jalene Deane, LCSW

Behavioral Health Center, LLC 399 East 10th Ave Ste

113, Eugene, OR. 97401 800-813-2000

F Y None N

Susan L Deane, LCSWDeane, Susan L, LCSW 320 N Main Ave Ste 201A, Gresham,

OR. 97030 800-813-2000F Y None Y

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Page 92 19415_9-19

Tiffany C Del Pozo, LCSW

Del Pozo, Tiffany C, LCSW 11950 SW 2nd st Ste 100,

Beaverton, OR. 97005 800-813-2000

F Y None Y

Heather A Devore, LPC

Devore, Heather A, LPC, LLC 650 NE Holladay St Ste 1600, Portland, OR. 97232

800-813-2000

F Y None Y

Nicholas R Dietlein, PsyDDietlein, Nicholas R, PsyD

2601 25th St SE Ste 420, Sa-lem, OR. 97302 800-813-2000

M Y None Y

Richard V Dillman, MA, CDMHP

Northwest Psychological Resources, LLC 945 11th

Ave, Longview, WA. 98632 800-813-2000

M Y None Y

Susan M Doak, MA

Newberg Counseling & Wellness, LLC 710 E Foothills Dr Ste 104C, Newberg, OR.

97132 800-813-2000

F Y None Y

Jennifer A Dobie, LCSW

Ruth Exley, LCSW dba Re-store Therapy, LLC 1235 SE

Morrison St Ste 100, Portland, OR. 97214 800-813-2000

F Y None French Y

Marni L Doerfler, LCSW

Portland Clinic - Beaverton Office 15950 SW Millikan

Way, Beaverton, OR. 97003 800-813-2000

F Y None Y

Cecilia M Dominguez, PsyD

LSC - Legacy Clinic Salmon Pain Management Center 2101 NE 139th St Ste 265,

Vancouver, WA. 98686 800-813-2000

F Y None Spanish Y

Cecilia M Dominguez, PsyD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Spanish Y

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Page 93 19415_9-19

Sean Donahue, MA, LPC

Donahue, Sean, MA, LPC dba Portland Group Psy-

chotherapy 211 SE 11th Ave Ste 227, Portland, OR. 97214

800-813-2000

M Y None Y

Daniel Donohue, LCSWDonohue, Daniel C, LLC 2931

NE Broadway St, Portland, OR. 97232 800-813-2000

M Y None Y

Michael A Doogan, PhD, LPC

Alter, Lesley, LCSW, PC- Ivan-hoe St 8532 N Ivanhoe Ste 203, Portland, OR. 97203

800-813-2000

M Y None Y

Maggie T Drake, NP

PeaceHealth Medical Group Oregon - Behavioral Health - 11th Ave 770 E 11th

Ave, Eugene, OR. 97401 800-813-2000

F Y None N

Maggie T Drake, NP

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 460 1200 Hil-yard St Ste 460, Eugene, OR.

97401 800-813-2000

F Y None N

Lee S Drucker, PsyDDrucker, Lee S, PsyD 8835 SW Canyon Ln Ste 236, Portland,

OR. 97225 800-813-2000M Y None Y

Tamara Duarte, MS, LMHC, LPC

Get Centered Counseling, PLLC 10000 NE 7th Ave Ste

100D, Vancouver, WA. 98685 800-813-2000

F Y None Y

Danny C Duke, PhD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M Y None Y

Danny C Duke, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Mackenzie L Dunham, LCSW

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

F Y None Y

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Page 94 19415_9-19

Mackenzie L Dunham, LCSW

Real Life Counseling, PLLC- Battle Ground 209 E Main St Ste 121, Battle Ground, WA.

98604 800-813-2000

F Y None Y

Mackenzie L Dunham, LCSW

Real Life Counseling, PLLC- West Vancouver 3606 Main St, Vancouver, WA. 98663

800-813-2000

F Y None Y

Megan Dye, PMHNP

LSC- Legacy Psychiatric Con-sult Liaison 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Megan Dye, PMHNP

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Michelle L Dykstra, PhD

Willamette Valley Family Center, LLC 610 Jefferson

St, Oregon City, OR. 97045 800-813-2000

F Y None Y

Jay Edwards, PhDEdwards, Jay, PhD 516 SE

Morrison St Ste 620, Portland, OR. 97214 800-813-2000

M Y None Y

Tiffany A Edwards, LPC

Edwards, Tiffany A, LPC dba Full Flight Counseling 202 E McLoughlin Blvd Ste 201, Vancouver, WA. 98663

800-813-2000

F Y None Y

Laura Edwards-Leeper, PhD

Edwards-Leeper, Laura, PhD 15455 NW Greenbrier Pkwy

Ste 240, Beaverton, OR. 97006 800-813-2000

F Y None Y

Katherine V Eichner, PhDAlter, Lesley, LCSW, PC 9860 SW Hall Blvd Ste B, Tigard, OR. 97223 800-813-2000

F Y None Y

Rhonda L Elston, MA, LMHC, LPC

Elston, Rhonda L, MA, LLC 819 SE 14th Loop Ste 101-I, Battle Ground, WA. 98604

800-813-2000

F Y None Y

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Page 95 19415_9-19

Breana Evans, LPC

Northwest Counseling Asso-ciates, LLC 3000 NW Stucki Ave Ste 150, Hillsboro, OR.

97124 800-813-2000

F Y None Y

Ruth Exley, LCSW

Ruth Exley, LCSW dba Re-store Therapy, LLC 1235 SE

Morrison St Ste 100, Portland, OR. 97214 800-813-2000

F Y None Spanish Y

Jill B Fancher, PhD

LSC - Legacy Clinic Salmon Pain Management Center 2101 NE 139th St Ste 265,

Vancouver, WA. 98686 800-813-2000

F Y None Y

Jill B Fancher, PhD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Yesenia F Farr, LPC

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 540 1200 Hil-yard St Ste 540, Eugene, OR.

97401 800-813-2000

F Y None Y

Justin Farrell, MSW

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

M Y None Y

Justin Farrell, MSW

Real Life Counseling, PLLC- Battle Ground 209 E Main St Ste 121, Battle Ground, WA.

98604 800-813-2000

M Y None Y

Justin Farrell, MSW

Real Life Counseling, PLLC- West Vancouver 3606 Main St, Vancouver, WA. 98663

800-813-2000

M Y None Y

Trudy M Ferguson, LMFT

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

F Y None Y

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Page 96 19415_9-19

Trudy M Ferguson, LMFT

Real Life Counseling, PLLC- Battle Ground 209 E Main St Ste 121, Battle Ground, WA.

98604 800-813-2000

F Y None Y

Trudy M Ferguson, LMFT

Real Life Counseling, PLLC- West Vancouver 3606 Main St, Vancouver, WA. 98663

800-813-2000

F Y None Y

Amanda M Fernie, LMFT

Northwest Counseling Asso-ciates, LLC 3000 NW Stucki Ave Ste 150, Hillsboro, OR.

97124 800-813-2000

F Y None Y

Tinamarie Fish, LMHC

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

F Y None Y

Tinamarie Fish, LMHC

Real Life Counseling, PLLC- Battle Ground 209 E Main St Ste 121, Battle Ground, WA.

98604 800-813-2000

F Y None Y

Tinamarie Fish, LMHC

Real Life Counseling, PLLC- West Vancouver 3606 Main St, Vancouver, WA. 98663

800-813-2000

F Y None Y

Michelle Fitz, LMFTHealing Haven The, LLC 604

Charman St, Oregon City, OR. 97045 800-813-2000

F Y None Y

Sarah B Flanders, MD

PeaceHealth Medical Group Oregon - Behavioral Health - 11th Ave 770 E 11th

Ave, Eugene, OR. 97401 800-813-2000

F Y None N

Sarah B Flanders, MD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 460 1200 Hil-yard St Ste 460, Eugene, OR.

97401 800-813-2000

F Y None N

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Page 97 19415_9-19

Brent A Francisco, ARNP

PeaceHealth Medical Group - Lower Columbia - Behav-ioral Health 600 Broadway,

Longview, WA. 98632 800-813-2000

M Y None Y

Paul E Freeman, PhD

Columbia Wellness - Child and Family 720 14th Ave Ste 200, Longview, WA. 98632

800-813-2000

M Y None Y

Paul E Freeman, PhDColumbia Wellness 921 14th Ave, Longview, WA. 98632

800-813-2000M Y None Y

Lana Fretz-Mason, NP

PeaceHealth Medical Group - Lower Columbia - Behav-ioral Health 600 Broadway St, Longview, WA. 98632

800-813-2000

F Y None Y

Valorie Futcher, LMHP

Columbia Wellness - Child and Family 720 14th Ave Ste 200, Longview, WA. 98632

800-813-2000

F Y None Y

Valorie Futcher, LMHPColumbia Wellness 921 14th Ave, Longview, WA. 98632

800-813-2000F Y None Y

Kay A Gage, PMHNPGage, Kay, PMHNP 2006 SE Ankeny, Portland, OR. 97214

800-813-2000F Y None Y

Nicole R Galberth, LPCGalberth, Nicole, LPC 320 N

Main Ave Ste 201B, Gresham, OR. 97030 800-813-2000

F Y None Spanish Y

John P Galindo, PsyDGalindo, John, PsyD 2647

SE Lake Rd, Milwaukie, OR. 97222 800-813-2000

M Y None Spanish Y

Beau Garner, MEd, LMFT

Vista Counseling and Con-sultation, Inc - Willamette St Annex 1852 Willamette

St, Eugene, OR. 97401 800-813-2000

M Y None N

Beau Garner, MEd, LMFT

Vista Counseling and Con-sultation, Inc 1531 Pearl St, Eugene, OR. 97401

800-813-2000

M Y None N

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Page 98 19415_9-19

Bennett Garner, MDTrillium Family Services, Inc

3415 SE Powell Blvd, Portland, OR. 97202 800-813-2000

M Y None Y

Sandra L Garver, LPC

Linn County Dept of Health Serv - Third Avenue Of-fice 445 3rd Ave SW Ste 238, Albany, OR. 97321

800-813-2000

F Y None Y

William George, DO

Trillium Family Services, Inc- Day Program at Wake Robin 4455 NE Hwy 20, Corvallis, OR. 97330 800-813-2000

M Y None Y

Carol B Georgeson, LMFTBabe, R Scott, MD, LLC 2264 McGilchrist St SE Ste 100, Sa-lem, OR. 97302 800-813-2000

F Y None Y

Bridget Geraghty, LCSWResolve Therapy, LLC 3419

NE Sandy Blvd, Portland, OR. 97232 800-813-2000

F Y None Y

Robin C Gibler, LPC

Gibler, Robin, LPC DBA Aiya-na Counseling, LLC 7822 SW Capitol Hwy Ste 5, Portland,

OR. 97219 800-813-2000

F Y None Y

Lindsey E Gibson, LMFT

Bridge City Counseling 712 SE Hawthorne Blvd Ste 100, Portland, OR. 97214

800-813-2000

F Y None Y

Danette C Gillespie-Otto, LCSW

Communion Counseling & Consulting, LLC 333 NE Rus-sell St Ste 209, Portland, OR.

97212 800-813-2000

F Y None Y

Robert E Gitelson, MSW, LCSW

Gitelson, Robert, LCSW 4720 River Rd North, Keizer, OR.

97303 800-813-2000M Y None Y

Robert E Gitelson, MSW, LCSW

Gitelson, Robert, LCSW- Portland 7912 SW 35th Ave Ste 7, Portland, OR. 97219

800-813-2000

M Y None Y

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Page 99 19415_9-19

Christina A Gjesvold, LCSW

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

F Y Allergy None Y

Nancy J Good, LCSW

Portland Trauma Recovery, LLC 2105 NE Cesar E Chavez Blvd Ste 200, Portland, OR.

97212 800-813-2000

F Y None Y

Sara S Goodman, BCBA

Western Psychological & Counseling - Tualatin 18765

SW Boones Ferry Rd Ste 100, Tualatin, OR. 97062

800-813-2000

F Y None Y

Anthony M Grace, LPC

Portland Relationship Insti-tute LLC, dba Counseling

Services of Portland 7100 SW Hampton St Ste 128, Tigard,

OR. 97223 800-813-2000

M Y None Y

Anthony M Grace, LPC

Portland Relationship Insti-tute LLC, dba Counseling Services of Portland- East

Side Office 10424 SE Cherry Blossom Dr Ste D, Portland,

OR. 97216 800-813-2000

M Y None Y

Marsha L Graham, LCSW

Graham, Marsha L, LCSW 5331 SW Macadam Ste

209, Portland, OR. 97239 800-813-2000

F Y None Y

Neda Grant, LPCLiberty House 2685 4th St NE, Salem, OR. 97301

800-813-2000F Y None Y

Neda Grant, LPC

New Perspectives Center - Winter St NE 1675 Winter St NE, Salem, OR. 97301

800-813-2000

F Y None Y

Neda Grant, LPCNew Perspectives Center 565 Union St NE Ste 105, Salem,

OR. 97301 800-813-2000F Y None Y

James Grimm, MD

Center for Family Devel-opment, Inc - Central 1234 High St, Eugene, OR. 97401

800-813-2000

M Y None N

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Page 100 19415_9-19

James Grimm, MD

Center for Family Develop-ment, Inc - DYS 2727 Martin Luther King Blvd, Eugene, OR. 97401 800-813-2000

M Y None N

James Grimm, MD

Center for Family Devel-opment, Inc - South 1501

Pearl St, Eugene, OR. 97401 800-813-2000

M Y None N

Iris V Guerrero Urena, MD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 420 1200 Hil-yard St Ste 420, Eugene, OR.

97401 800-813-2000

F YAB Psych&Neuro

(Psychiatry)None Y

Susan Guillou, LMFT

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 460 1200 Hil-yard St Ste 460, Eugene, OR.

97401 800-813-2000

F Y None Y

Joy Gulseth, BCBA

Kids Overcoming, LLC 1675 SW Marlow Ave Ste 200, Portland, OR. 97225

800-813-2000

F Y None Y

Alex Z Hager, MA, LMFT

Eugene Pediatric Associates, LLC 995 Willagillespie Rd

Ste 100, Eugene, OR. 97401 800-813-2000

M Y None Y

Erin B Haley, LMFT

Family Ties Counseling Center dba Manalis Mind Body Therapies, LLC 0333

SW Flower St, Portland, OR. 97239 800-813-2000

F Y None Y

Cheryl Hamilton-Jefferson, QMHP, LMHC

Hamilton-Jefferson, Cher-yl A, LMHC 11818 SE Mill

Plain, Vancouver, WA. 98684 800-813-2000

F Y None Y

Sharon J Hammond, PMHNP

LSC- Legacy Psychiatric Con-sult Liaison 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

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Page 101 19415_9-19

Sharon J Hammond, PMHNP

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

George I Hannibal, LCSW, MSW

Hannibal, George I, LCSW 1419 NE 69th Ave, Portland,

OR. 97213 800-813-2000M Y None Y

Kristi M Hansen, MA, BCBA

Footprints Behavioral Inter-ventions, Inc 3535 N Lom-

bard St, Portland, OR. 97217 800-813-2000

F Y None Y

Craig E Hanson, LCSW, MSW

Western Psychological & Counseling - Beaverton Bldg A 9670 SW Beaverton-Hills-

dale Hwy Bldg A, Beaverton, OR. 97005 800-813-2000

M Y None Y

Craig E Hanson, LCSW, MSW

Western Psychological & Counseling - Hillsboro 8280

NE Mauzey Ct, Hillsboro, OR. 97124 800-813-2000

M Y None Y

Craig E Hanson, LCSW, MSW

Western Psychological & Counseling Services, PC 880 SE 82nd Dr, Gladstone, OR.

97027 800-813-2000

M Y None Y

Joanna L Harberts, LPC

Newberg Counseling & Well-ness, LLC 901 N Brutscher St Ste 204, Newberg, OR. 97132

800-813-2000

F Y None Y

Valinda Harlan, LPC

Portland Relationship Insti-tute LLC, dba Counseling Services of Portland- East

Side Office 10424 SE Cherry Blossom Dr Ste D, Portland,

OR. 97216 800-813-2000

F Y None Y

Jeremy C Harle, MFT, LPC

Vista Counseling and Con-sultation, Inc 1531 Pearl St, Eugene, OR. 97401

800-813-2000

M Y None N

Theo Harper, MA, LPCHarper, Theo, MA, LPC 516 SE Morrison LL 4, Portland, OR.

97214 800-813-2000M Y None Y

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Page 102 19415_9-19

Jill E Hauben, MSW, LCSWJill E Hauben, LCSW, LLC

2325 E Burnside St, Portland, OR. 97214 800-813-2000

F Y None Y

Daniel W Haupt, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Susan A Heath, LCSW

New Perspectives Center - High Street 161 High Stt SE Ste 206A, Salem, OR. 97301

800-813-2000

F Y None Y

Benjamin J Heifetz, LPC

Vista Counseling and Con-sultation, Inc 1531 Pearl St, Eugene, OR. 97401

800-813-2000

M Y None N

Linda S Heins, LCSW

Heins, Linda, LCSW, LLC 10001 SE Sunnyside Rd Ste 140, Clackamas, OR. 97015

800-813-2000

F Y None Y

Rita Herlong, NP, RN, MSHerlong, Rita, PMHNP, PC 2695 12th Place SE, Salem, OR. 97302 800-813-2000

F Y None Y

MaryBeth Hernandez, LCSW

Childrens Center of Clacka-mas County, The 1713 Penn Ln, Oregon City, OR. 97045

800-813-2000

F Y None Y

Natalia Hicks, NP

PeaceHealth Medical Group Oregon - Behavioral Unit

1255 Hilyard St, Eugene, OR. 97401 800-813-2000

F Y None N

Natalia Hicks, NP

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 460 1200 Hil-yard St Ste 460, Eugene, OR.

97401 800-813-2000

F Y None N

Michelle Hill, BCBA

Western Psychological & Counseling - Salmon Creek 2103 NE 129th St Ste 101,

Vancouver, WA. 98686 800-813-2000

F Y None Y

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Page 103 19415_9-19

Amy Holley, PhD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

F Y None Y

Amy Holley, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Ebony A Holly, LPC

Connections First, LLC 3939 NE Hancock St Ste 307, Portland, OR. 97212

800-813-2000

F Y None Y

Ebony A Holly, LPC

Connections First, LLC- Flan-ders St 2250 NW Flanders St Ste 201, Portland, OR. 97210

800-813-2000

F Y None Y

Bradley H Houck, LCSW

Houck Incorporated dba Deaf and Hard of Hearing Counsel-ing Services, LLC 161 High St SE Ste 254, Salem, OR. 97301

800-813-2000

M Y NoneAmeri-

can Sign Language

Y

Kenneth C Houston, LCSW

Houston, Kenneth C, LCSW 1104 Main St Ste M110, Vancouver, WA. 98660

800-813-2000

M Y None Y

Justin Hoyt, PMHNP-PP

Trillium Family Services, Inc- Day Program at Wake Robin 4455 NE Hwy 20, Corvallis, OR. 97330 800-813-2000

M Y None Y

Lark Y Huang-Storms, PhD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

F Y None Y

Lark Y Huang-Storms, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 104 19415_9-19

Stephen D Hubbard, DO

PeaceHealth Medical Group Oregon - Behavioral Health - 11th Ave 770 E 11th

Ave, Eugene, OR. 97401 800-813-2000

M Y

Psychiatry, Child & Adoles-

cent

None N

Stephen D Hubbard, DO

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 420 1200 Hil-yard St Ste 420, Eugene, OR.

97401 800-813-2000

M Y

Psychiatry, Child & Adoles-

cent

None N

Ashley Huddleston, MSW, LCSW

Ruth Exley, LCSW dba Re-store Therapy, LLC 1235 SE

Morrison St Ste 100, Portland, OR. 97214 800-813-2000

F Y None Y

Justin Hull, LPC

Anchor Counseling Services, LLC 320 N Main Ave Ste

212, Gresham, OR. 97030 800-813-2000

M Y None Y

Allison D Huntley, MSW

Firefly Counseling Services, PC 4950 NE Belknap Ct Ste 205, Hillsboro, OR. 97124

800-813-2000

F Y None Spanish Y

Jeffrey S Huston, LPC

Eugene Pediatric Associates, LLC 995 Willagillespie Rd

Ste 100, Eugene, OR. 97401 800-813-2000

M Y None Y

Christina Irvine, PsyD

Portland Trauma Recovery, LLC 2105 NE Cesar E Chavez Blvd Ste 200, Portland, OR.

97212 800-813-2000

F Y None Y

Tracey L Iserhott, LCSWIserhott, Tracey, LCSW 645

Waverly Dr SE Ste 208, Alba-ny, OR. 97322 800-813-2000

F Y None Y

Claudia James, LCSWBabe, R Scott, MD, LLC 2264 McGilchrist St SE Ste 100, Sa-lem, OR. 97302 800-813-2000

F Y None Y

Angela C Johnson, LCSWCounseling on Burnside, Inc 2303 E Burnside St, Portland,

OR. 97214 800-813-2000F Y None Y

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Page 105 19415_9-19

Jan G Johnson, PhD

Northwest Psychological Resources, LLC 945 11th

Ave, Longview, WA. 98632 800-813-2000

M Y None Y

Melinda N Johnson, MA, LMHC

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

F Y None Y

Melinda N Johnson, MA, LMHC

Real Life Counseling, PLLC- Battle Ground 209 E Main St Ste 121, Battle Ground, WA.

98604 800-813-2000

F Y None Y

Melinda N Johnson, MA, LMHC

Real Life Counseling, PLLC- West Vancouver 3606 Main St, Vancouver, WA. 98663

800-813-2000

F Y None Y

Sarah L Karalunas, PhD, PsyD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Sedona N Karlin, LMFT

Firefly Counseling Services, PC 4950 NE Belknap Ct Ste 205, Hillsboro, OR. 97124

800-813-2000

F Y None Y

Anita M Katz, PMHNP

Katz, Anita, PMHNP 5200 SW Macadam Ave Ste

312, Portland, OR. 97239 800-813-2000

F Y None Y

Sara Kendall, LPC

Straight From the Heart, Inc 5404 N Montana

Ave, Portland, OR. 97217 800-813-2000

F Y None Y

Katie A Kennedy, MA, LPCKennedy, Katherine, MA, LPC

3434 SW Kelly St, Portland, OR. 97239 800-813-2000

F Y None Y

Kordell M Kennemer, PsyD

Kennemer, Kordell, PsyD, LLC 619 Madison St Ste 108,

Oregon City, OR. 97045 800-813-2000

M Y None Y

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Page 106 19415_9-19

Jessica M Kingrey, LMHC

Northwest Psychological Resources, LLC 945 11th Ave Ste B, Longview, WA. 98632

800-813-2000

F Y None Y

Fred P Kinnicutt, MD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 420 1200 Hil-yard St Ste 420, Eugene, OR.

97401 800-813-2000

M YAB Psych&Neuro

(Child/Adol Psych)None Y

Lititia J Kirk, LCSWKirk, Lititia, LCSW 790 SE

Webber St Ste 311, Portland, OR. 97202 800-813-2000

F Y None Y

Lisa Klavans Rekosh, LCSW

Portland Relationship Insti-tute LLC, dba Counseling

Services of Portland 7100 SW Hampton St Ste 128, Tigard,

OR. 97223 800-813-2000

F Y None Y

Joseph M Klemz, LCSW

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

M Y None Y

Joseph M Klemz, LCSW

Real Life Counseling, PLLC- Battle Ground 209 E Main St Ste 121, Battle Ground, WA.

98604 800-813-2000

M Y None Y

Joseph M Klemz, LCSW

Real Life Counseling, PLLC- West Vancouver 3606 Main St, Vancouver, WA. 98663

800-813-2000

M Y None Y

Melody A Klug, NP

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Lynn Knope, PsyDKnope, Lynn, PsyD 8305 SE

Monterey Ste 219, Happy Val-ley, OR. 97086 800-813-2000

F Y None Y

Lynn Knope, PsyD

Knope, Lynn, PsyD- Tigard Location 12008 SW Gar-

den Pl, Tigard, OR. 97223 800-813-2000

F Y None Y

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Page 107 19415_9-19

Amy M Kobus, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Michael K Kohler, LCSW, ACSW, BCD

Kohler, Michael, LCSW - Downtown Location 1020 SW Taylor Ste 560, Portland, OR.

97205 800-813-2000

M Y None Y

Michael K Kohler, LCSW, ACSW, BCD

Kohler, Michael, LCSW 1104 Main St Ste M110, Vancouver,

WA. 98660 800-813-2000M Y None Y

Slavica Kojadinovic, MSW,LCSW

Connections First, LLC 3939 NE Hancock St Ste 307, Portland, OR. 97212

800-813-2000

F Y NoneSer-

bo-Croa-tian

Y

Slavica Kojadinovic, MSW,LCSW

Connections First, LLC- Flan-ders St 2250 NW Flanders St Ste 201, Portland, OR. 97210

800-813-2000

F Y NoneSer-

bo-Croa-tian

Y

Anne C Kraft, LCSW

PeaceHealth Medical Group Oregon - Univ Dist Behavioral Health - Ste 570 1200 Hilyard

St Ste 570, Eugene, OR. 97401 800-813-2000

F Y None N

Shanna Kramer, LPCNW Anxiety Institute, LLC 32 NE 11th Ave, Portland, OR.

97232 800-813-2000F Y None Y

Nathaniel Kravitz, PMHNP-BC

Tim A Perez, LLC dba Valueris Psychiatric Services 7105 SW Varns St Ste 270, Tigard, OR.

97223 800-813-2000

M YAmerican Nurses Cre-

dentialing CenterNone Y

Eric A Lackie, MEd, LMFT

Center for Family Devel-opment, Inc - Central 1234 High St, Eugene, OR. 97401

800-813-2000

M Y None N

Eric A Lackie, MEd, LMFT

Center for Family Develop-ment, Inc - DYS 2727 Martin Luther King Blvd, Eugene, OR. 97401 800-813-2000

M Y None N

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Page 108 19415_9-19

Michael S Lafferty, MS, LMHC

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

M Y None Y

Michael S Lafferty, MS, LMHC

Real Life Counseling, PLLC- Battle Ground 209 E Main St Ste 121, Battle Ground, WA.

98604 800-813-2000

M Y None Y

Michael S Lafferty, MS, LMHC

Real Life Counseling, PLLC- West Vancouver 3606 Main St, Vancouver, WA. 98663

800-813-2000

M Y None Y

Bethany M Lamb, LCSW

Ruth Exley, LCSW dba Re-store Therapy, LLC 1235 SE

Morrison St Ste 100, Portland, OR. 97214 800-813-2000

F Y None Y

Elaine Lamb, LPC

Lamb, Elaine, LPC 15100 Boones Ferry Rd Ste 850 A-B,

Lake Oswego, OR. 97035 800-813-2000

F Y None Y

Debra L Lamp, MA, LPC

Lamp, Debra DBA Deb Lamp Counseling and Consulta-tion, LLC 868 Commercial St SE, Salem, OR. 97302

800-813-2000

F Y None Y

Jessica Larson, LMHC

Thrive Psychological Ser-vices, PS 1101 Broadway Ste 230, Vancouver, WA. 98660

800-813-2000

F Y NoneMandarin (Chinese dialect)

Y

Karen Larson, LPCLiberty House 2685 4th St NE, Salem, OR. 97301

800-813-2000F Y None Y

Laurene L Larson, MS, LPC

Vista Counseling and Con-sultation, Inc 1531 Pearl St, Eugene, OR. 97401

800-813-2000

F Y None N

Theodore Layman, LCSW

Ruth Exley, LCSW dba Re-store Therapy, LLC 1235 SE

Morrison St Ste 100, Portland, OR. 97214 800-813-2000

M Y None Y

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Page 109 19415_9-19

Jill L Leffingwell, LCSW

Leffingwell, Jill L, LCSW dba Leffingwell Counseling 118 Merry Lane, Eugene, OR.

97404 800-813-2000

F Y None N

Janice E Leibowitz, LCSW

Leibowitz, Janice, LCSW 1135 SE Salmon St Ste

106, Portland, OR. 97214 800-813-2000

F Y None Y

Stuart A Levy, LCSWLevy, Stuart A, LCSW 16110

SW Regatta Lane, Beaverton, OR. 97006 800-813-2000

M Y None Y

Maren E Lindeland, PsyD

Bridge City Counseling 712 SE Hawthorne Blvd Ste 100, Portland, OR. 97214

800-813-2000

F Y None Y

Thomas L Lissman, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y None Y

Thomas L Lissman, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

Jamie N Lloyd, MA, LPCOrchid Oakridge Clinic, PC

47815 Hwy 58, Oakridge, OR. 97463 800-813-2000

F Y None Y

Sarah Long, LCSW

Firefly Counseling Services, PC 4950 NE Belknap Ct Ste 205, Hillsboro, OR. 97124

800-813-2000

F Y None Y

Shea A Lott, PhD

OHSU - Avel Gordly Center for Healing 621 SW Alder St Ste 520, Portland, OR. 97205

800-813-2000

F Y None Y

Shea A Lott, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Shea A Lott, PhD

Trillium Family Services, Inc- Waverly Childrens Home 3415 SE Powell Blvd, Portland, OR.

97202 800-813-2000

F Y None Y

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Page 110 19415_9-19

Kathleen M Love, LPCLove, Kathleen, LPC 1675 SW Marlow Ste 303, Portland, OR.

97225 800-813-2000F Y None Y

Gene S Lui, DO

LSC- Legacy Psychiatric Con-sult Liaison 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M YAB Psych&Neuro

(Psychiatry)None Y

Greta C Lyders, PhD

Portland Relationship Insti-tute LLC, dba Counseling Services of Portland- East

Side Office 10424 SE Cherry Blossom Dr Ste D, Portland,

OR. 97216 800-813-2000

F Y None Y

Kelly Mach, LPCBrave Acorn, LLC 1675 SW

Marlow Ave Ste 303, Portland, OR. 97225 800-813-2000

F Y None Y

Alyssa MackIntosh, LCSW

Ruth Exley, LCSW dba Re-store Therapy, LLC 1235 SE

Morrison St Ste 100, Portland, OR. 97214 800-813-2000

F Y None Spanish Y

Loren E Mallory, PhD

Mallory, Loren, PhD DBA Mal-lory and White, PC 619 Mad-ison St Ste 108, Oregon City,

OR. 97045 800-813-2000

M Y None Y

Katie M Malloy, MS, LMHC

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

F Y None Y

Katie M Malloy, MS, LMHC

Real Life Counseling, PLLC- West Vancouver 3606 Main St, Vancouver, WA. 98663

800-813-2000

F Y None Y

Jeremy B Manalis, LPC

Family Ties Counseling Center dba Manalis Mind Body Therapies, LLC 0333

SW Flower St, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 111 19415_9-19

Johanna J Manalis, LMFT

Family Ties Counseling Center dba Manalis Mind Body Therapies, LLC 0333

SW Flower St, Portland, OR. 97239 800-813-2000

F Y None Y

Jennifer Maney, MSW, LCSW

Reflections Counseling, LLC 4531 SE Belmont St Ste

310, Portland, OR. 97215 800-813-2000

F Y None Spanish Y

Laura E Mangum-Childers, LCSW

Laura Mangum-Childers, LCSW, LLC 445 Union St NE Apt 202A, Salem, OR. 97301

800-813-2000

F Y None Spanish Y

Rachel E Manley, LCSW

Firefly Counseling Services, PC 4950 NE Belknap Ct Ste 205, Hillsboro, OR. 97124

800-813-2000

F Y None Y

Ellen S Margolis, LCSWMargolis, Ellen S, LCSW 240 Luther St South, Salem, OR.

97302 800-813-2000F Y None Y

Amber N Marinoff, MA, LMFT

Portland Relationship Insti-tute LLC, dba Counseling

Services of Portland 7100 SW Hampton St Ste 128, Tigard,

OR. 97223 800-813-2000

F Y None Y

Amber N Marinoff, MA, LMFT

Portland Relationship Insti-tute LLC, dba Counseling

Services of Portland- Canby 550 NW 3rd Ave, Canby, OR.

97013 800-813-2000

F Y None Y

Amber N Marinoff, MA, LMFT

Portland Relationship Insti-tute LLC, dba Counseling Services of Portland- East

Side Office 10424 SE Cherry Blossom Dr Ste D, Portland,

OR. 97216 800-813-2000

F Y None Y

David C Marks, LMFT

Family Ties Counseling Center dba Manalis Mind Body Therapies, LLC 0333

SW Flower St, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 112 19415_9-19

Michele Markstrom, LMFT

Vista Counseling and Con-sultation, Inc 1531 Pearl St, Eugene, OR. 97401

800-813-2000

F Y None N

Kimberly G Marriott, PhD

Marriott, Kimberly G, PhD 4036 NE Sandy Blvd Ste 206, Portland, OR. 97212

800-813-2000

F Y None Y

Rebecca D Marshall, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Holly M Matthews, LCSW

Matthews, Holly M, LCSW 7409 SW Capitol Hwy Ste 201, Portland, OR. 97209

800-813-2000

F Y None Y

Jennifer A Mauro, PhD

Vista Counseling and Con-sultation, Inc - Willamette St Annex 1852 Willamette

St, Eugene, OR. 97401 800-813-2000

F Y None N

Joseph A McDaniel, MSWColumbia Wellness 921 14th Ave, Longview, WA. 98632

800-813-2000M Y None Y

Timothy McGee, LCSWLiberty House - Taylor 375 Taylor St NE, Salem, OR.

97301 800-813-2000M Y None Y

Jessica L McKee, LPCNW Anxiety Institute, LLC 32 NE 11th Ave, Portland, OR.

97232 800-813-2000F Y None Y

Carol A McKinnon, LCSW

McKinnon, Carol, LCSW 8835 SW Canyon Ln Ste

240, Portland, OR. 97225 800-813-2000

F Y None Y

Diane M McLendon, LMFT

Family Ties Counseling Center dba Manalis Mind Body Therapies, LLC 0333

SW Flower St, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 113 19415_9-19

Shelley McLendon, LPC

Bridge City Counseling 712 SE Hawthorne Blvd Ste 100, Portland, OR. 97214

800-813-2000

F Y None Y

Sandi L McQueen, LICSW

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

F Y None Y

Sandi L McQueen, LICSW

Real Life Counseling, PLLC- Battle Ground 209 E Main St Ste 121, Battle Ground, WA.

98604 800-813-2000

F Y None Y

Sandi L McQueen, LICSW

Real Life Counseling, PLLC- West Vancouver 3606 Main St, Vancouver, WA. 98663

800-813-2000

F Y None Y

Mark A Medina, LICSW

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

M Y None Y

Mark A Medina, LICSW

Real Life Counseling, PLLC- Battle Ground 209 E Main St Ste 121, Battle Ground, WA.

98604 800-813-2000

M Y None Y

Mark A Medina, LICSW

Real Life Counseling, PLLC- West Vancouver 3606 Main St, Vancouver, WA. 98663

800-813-2000

M Y None Y

Trisha R Medina, LMHC

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

F Y None Y

Trisha R Medina, LMHC

Real Life Counseling, PLLC- Battle Ground 209 E Main St Ste 121, Battle Ground, WA.

98604 800-813-2000

F Y None Y

Trisha R Medina, LMHC

Real Life Counseling, PLLC- West Vancouver 3606 Main St, Vancouver, WA. 98663

800-813-2000

F Y None Y

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Page 114 19415_9-19

Stephen S Meharg, PhD

Northwest Psychological Resources, LLC 945 11th

Ave, Longview, WA. 98632 800-813-2000

M Y None Y

Alec N Mendelson, PhDMendelson, Alec N, PhD 320 N Main Ave Ste 201A, Gresh-am, OR. 97030 800-813-2000

M Y None Y

Deborah L Mertlich, LCSW

Mertlich, Deborah, LCSW 4550 SW Kruse Way Ste 340,

Lake Oswego, OR. 97035 800-813-2000

F Y None Y

Jennifer Metheny, PhD

Vista Counseling and Con-sultation, Inc 1531 Pearl St, Eugene, OR. 97401

800-813-2000

F Y None N

Rhoberta E Michaels, LPC, NCC

Michaels, Rhoberta, LPC, NCC 6902 SE Lake Rd Ste 202, Milwaukie, OR. 97267

800-813-2000

F YNational Board for

Certified CounselorsNone Y

David Mikula, LCSWMikula, David J, LCSW 1258 High St, Eugene, OR. 97401

800-813-2000M Y None N

Andria Miller, LPC

PeaceHealth Medical Group Oregon - Univ Dist Behavioral Health - Ste 570 1200 Hilyard

St Ste 570, Eugene, OR. 97401 800-813-2000

F Y None Y

Clarke Miller, BCBA

Trillium Family Services, Inc- Waverly Childrens Home 3415 SE Powell Blvd, Portland, OR.

97202 800-813-2000

M Y None Y

Keith A Miller, PhD

Vista Counseling and Con-sultation, Inc 1531 Pearl St, Eugene, OR. 97401

800-813-2000

M Y None N

Madalyn K Miller, MA

Thrive Psychological Ser-vices, PS 1101 Broadway Ste 230, Vancouver, WA. 98660

800-813-2000

F Y None Y

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Page 115 19415_9-19

John B Milnes, LCSWMilnes, John B, MSW 1645 Liberty St SE, Salem, OR.

97302 800-813-2000M Y None Y

Karen M Mindt Howell, LPC

Karen Mindt Howell LPC, Inc- Princeton St 250 Princeton

Ave Ste 205, Gladstone, OR. 97027 800-813-2000

F Y None Y

Karen M Mindt Howell, LPC

Karen Mindt Howell, LPC, Inc 3758 SE Milwaukie

Ave, Portland, OR. 97202 800-813-2000

F Y None Y

Meredith M Mirsepassi, LPC

Meredith Mirsepassi Coun-seling 25030 SW Parkway

Ave Ste 1045, Wilsonville, OR. 97070 800-813-2000

F Y None Y

Ron Miyaguchi, PhD

Eugene Center for Anxiety and Stress, LLC 101 E Broad-

way Ave Ste 400, Eugene, OR. 97401 800-813-2000

M Y None Y

Ida Moadab, PhDMoadab, Ida, PhD 280 E 11th

Ave, Eugene, OR. 97401 800-813-2000

F Y None N

Colleen Moloney, LCSW

Moloney, Colleen, LCSW 1829 NE Alberta Ste

3, Portland, OR. 97211 800-813-2000

F Y None Y

Kirsten M Monger, LPCNT Cares LLC 1130 SW Morri-son St Ste 430, Portland, OR.

97205 800-813-2000F Y None Y

Jill M Monsen, LPC

Portland Trauma Recovery, LLC 2105 NE Cesar E Chavez Blvd Ste 200, Portland, OR.

97212 800-813-2000

F Y None Y

James P Mooney, PhD

Mooney, James P, PhD dba Salem Psychological Services

325 13th St NE Ste 502, Sa-lem, OR. 97301 800-813-2000

M Y None Y

Alisha R Moreland, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 116 19415_9-19

Amy D Morris, MALiberty House 2685 4th St NE, Salem, OR. 97301

800-813-2000F Y None Y

Lauren M Moyer, LCSW

Center for Family Devel-opment, Inc - Springfield Family Physicians Centen-nial Blvd 1800 Centennial

Blvd, Springfield, OR. 97477 800-813-2000

F Y None N

Heather F Mulkerns, LCSWMulkerns, Heather, LCSW

2006 SE Ankeny St, Portland, OR. 97214 800-813-2000

F Y None Y

Anne Munson-Phelps, LMFT

Munson-Phelps, Anne, LMFT 1135 SE Salmon Ste 104, Portland, OR. 97214

800-813-2000

F Y None Y

Ann K Murakami, PsyD

Murakami, Ann, PsyD 3939 NE Hancock St Ste 312, Portland, OR. 97212

800-813-2000

F Y Psychiatry None Y

Paul R Myers, PhD

Myers, Paul, PhD, LLC 5441 SW Macadam Ave Ste

104, Portland, OR. 97293 800-813-2000

M y None Y

Harpreet K Nagra, PhD

Vista Counseling and Con-sultation, Inc - Portland 1312 E Burnside St, Portland, OR.

97214 800-813-2000

F Y None Y

Harpreet K Nagra, PhD

Vista Counseling and Con-sultation, Inc 1531 Pearl St, Eugene, OR. 97401

800-813-2000

F Y None N

Gael Nance, LCSW

Portland Relationship Insti-tute LLC, dba Counseling

Services of Portland 7100 SW Hampton St Ste 128, Tigard,

OR. 97223 800-813-2000

F Y None Y

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Page 117 19415_9-19

John K Neiheisel, LCSW

Neiheisel, John, LCSW 1962 NW Kearney St Ste 102, Portland, OR. 97209

800-813-2000

M Y None Y

Denise Nejedlo, LCSW

Nejedlo, Denise, LCSW dba New Insights 1340 Madison

St NE, Salem, OR. 97301 800-813-2000

F Y None Y

Cynthia L Nesiba, LCSW

Center for Family Develop-ment, Inc - Springfield Family Physicians 2280 Marcola Rd,

Springfield, OR. 97477 800-813-2000

F Y None N

Sabrina Noel, DO

PeaceHealth Medical Group Oregon - Behavioral Unit

1255 Hilyard St, Eugene, OR. 97401 800-813-2000

F Y NoneSpanish; French

N

Kathleen J Nutt, MS, MSW

Vista Counseling and Con-sultation, Inc 1551 Pearl St, Eugene, OR. 97401

800-813-2000

F Y None Y

Caitlin O’Dell, LMFT

Bridge City Counseling 712 SE Hawthorne Blvd Ste 100, Portland, OR. 97214

800-813-2000

F Y None Y

Steven K O’Dell, LCSWLighter Heart, PC, The 1732

SE Ash St, Portland, OR. 97214 800-813-2000

M Y NoneAmeri-

can Sign Language

Y

Alycia A OConnell, LCSW

OConnell, Alycia, LCSW 107 E Historic Columbia River Hwy

Ste 204, Troutdale, OR. 97060 800-813-2000

F Y None Y

Susan L ODell, LCSWODell, Susan L, LCSW 1732 SE Ash, Portland, OR. 97214

800-813-2000F Y None Y

Erica Y Ostergren, LPC

Ostergren Counseling and Consulting, LLC 388 State St Ste 810, Salem, OR. 97301

800-813-2000

F Y None Y

Vanessa L Owen, LCSWOwen, Vanessa, LCSW 201 B Ave Ste 255, Lake Oswego, OR. 97034 800-813-2000

F Y None Y

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Page 118 19415_9-19

Laurel D Oziel, LCSW

Oziel, Laurel, LCSW 720 SW Washington St Ste

628, Portland, OR. 97205 800-813-2000

F Y None Y

Lisa Pace, LPCPace, Lisa, LPC 4531 SE

Belmont St Ste 203, Portland, OR. 97215 800-813-2000

F Y None Y

Caroline Paddock, LCSW

Family Ties Counseling Center dba Manalis Mind Body Therapies, LLC 0333

SW Flower St, Portland, OR. 97239 800-813-2000

F Y None Y

David J Paris, PMHNPColumbia Wellness 921 14th Ave, Longview, WA. 98632

800-813-2000M Y None Y

Ann Parsons, LMFTNW Anxiety Institute, LLC 32 NE 11th Ave, Portland, OR.

97232 800-813-2000F Y None Y

Deidre F Pearson, BCBA

Footprints Behavioral In-terventions, Inc- Vancouver

7902 NE St Johns Rd Ste 106, Vancouver, WA. 98665

800-813-2000

F Y None Y

Jondra Pennington, LMFT

Vista Counseling and Con-sultation, Inc 1551 Pearl St, Eugene, OR. 97401

800-813-2000

F Y None Y

Timothy A Perez, PMHNP

Tim A Perez, LLC dba Valueris Psychiatric Services 7105 SW Varns St Ste 270, Tigard, OR.

97223 800-813-2000

F YAmerican Nurses Cre-

dentialing CenterNone Y

Debra S Perko-Kornberg, LMHC, LMFT

Columbia Wellness - Child and Family 720 14th Ave Ste 200, Longview, WA. 98632

800-813-2000

F Y None Y

Debra S Perko-Kornberg, LMHC, LMFT

Columbia Wellness 921 14th Ave, Longview, WA. 98632

800-813-2000F Y None Y

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Page 119 19415_9-19

Theresa L Peters, LCSW

Theresa Peters Counsel-ing, LLC 805 Liberty St NE

Ste 2, Salem, OR. 97301 800-813-2000

F Y None Y

Anna C Peterson, LMHC

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

F Y None Y

Daphna Peterson, LCSW

Portland DBT Institute, Inc 5200 SW Macadam Ste

580, Portland, OR. 97239 800-813-2000

F Y None Y

Keely A Peterson-Snider, NP

PeaceHealth Medical Group Siuslaw - 340 9th St 340

9th St, Florence, OR. 97439 800-813-2000

F Y None Y

Roseanne Pikul, LMFTPikul, Roseanne, LMFT 880

Liberty St NE Ste 102, Salem, OR. 97301 800-813-2000

F Y None Y

Brandon J Pipkin, LMFT

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 420 1200 Hil-yard St Ste 420, Eugene, OR.

97401 800-813-2000

M Y None Spanish N

Jamie L Pleich, LPC

Eugene Pediatric Associates, LLC 995 Willagillespie Rd

Ste 100, Eugene, OR. 97401 800-813-2000

F Y None N

Michelle M Pliske, MSW, LCSW

Firefly Counseling Services, PC 4950 NE Belknap Ct Ste 205, Hillsboro, OR. 97124

800-813-2000

F Y None Y

Denise Polacek, LCSWPolacek, Denise, LCSW 3000 Market St NE Ste 414, Salem,

OR. 97301 800-813-2000F Y None Y

Catherine Polan Orzech, LMFT

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 120 19415_9-19

Jolivia J Porter, LMHP, LMFT

Columbia Wellness - Child and Family 720 14th Ave Ste 200, Longview, WA. 98632

800-813-2000

F Y None Y

Jolivia J Porter, LMHP, LMFT

Columbia Wellness 921 14th Ave, Longview, WA. 98632

800-813-2000F Y None Y

Susan K Preston, PhD

Willamette Valley Family Center, LLC 610 Jefferson

St, Oregon City, OR. 97045 800-813-2000

F Y None Y

Andre B Pruitt, MSW, LCSW

Rustic Sage, LLC 2705 E Burn-side Ste 108, Portland, OR.

97214 800-813-2000M Y None Y

Amy Quaring, LPC, CADC III

Northwest Counseling Asso-ciates, LLC 3000 NW Stucki Ave Ste 150, Hillsboro, OR.

97124 800-813-2000

F Y None Y

Dmitriy Rakhlin, NP

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

M Y None Y

Dmitriy Rakhlin, NP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Karan S Randhava, MD

Ruth Exley, LCSW dba Re-store Therapy, LLC 1235 SE

Morrison St Ste 100, Portland, OR. 97214 800-813-2000

M Y

AB Psych&Neuro (Psychiatry), AB Psy-

ch&Neuro (Child/Ado-lescent Psychiatry)

NoneSpanish; Swahili

Y

Rebecca S Rasmussen, LCSW

New Perspectives Center - Winter St NE 1675 Winter St NE, Salem, OR. 97301

800-813-2000

F Y None Y

Rebecca S Rasmussen, LCSW

New Perspectives Center 565 Union St NE Ste 105, Salem,

OR. 97301 800-813-2000F Y None Y

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Page 121 19415_9-19

Nancy K Ravitch, PhD

Eugene Pediatric Associates, LLC 995 Willagillespie Rd

Ste 100, Eugene, OR. 97401 800-813-2000

F Y None Y

Jennifer Rawhouser, LCSW

Straight From the Heart, Inc 5404 N Montana

Ave, Portland, OR. 97217 800-813-2000

F Y Allergy None Spanish Y

Kimberly E Reynolds, PhD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

F Y None Y

Kimberly E Reynolds, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Alicia J Richards, LCSW

Straight From the Heart, Inc 5404 N Montana

Ave, Portland, OR. 97217 800-813-2000

F Y None Y

Jonelle M Richards, LCSW

Portland Relationship Insti-tute LLC, dba Counseling

Services of Portland 7100 SW Hampton St Ste 128, Tigard,

OR. 97223 800-813-2000

F Y None Y

Eldon Richey, LMFT

Eugene Center for Anxiety and Stress, LLC 101 E Broad-

way Ave Ste 400, Eugene, OR. 97401 800-813-2000

M Y None Y

Geoffrey A Richie, LMHC

Northwest Psychological Resources, LLC 945 11th

Ave, Longview, WA. 98632 800-813-2000

M Y None Y

Andrew R Riley, PhD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M Y None Y

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Page 122 19415_9-19

Andrew R Riley, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Noreen M Riordan, PHD

Riordan, Noreen, PhD - Portland 1020 SW Taylor St

Ste 715, Portland, OR. 97205 800-813-2000

F Y None Y

Noreen M Riordan, PHDRiordan, Noreen, PhD, LLC

601 Main St Ste 505, Vancou-ver, WA. 98660 800-813-2000

F Y None Y

Ty M Roberson, LCSW

Straight From the Heart, Inc 5404 N Montana

Ave, Portland, OR. 97217 800-813-2000

M Y None Y

Kenneth A Robertson, LCSW, MSW

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Christine Robinette, LCSW

Robinette, Christine, LCSW 3865 Wolverine NE Bldg

E-6, Salem, OR. 97305 800-813-2000

F Y None Y

Teresa Rolnick, LMFT

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 460 1200 Hil-yard St Ste 460, Eugene, OR.

97401 800-813-2000

F Y None Y

Stacie Rowan, PhDRowan, Stacie, PhD 132 E

Broadway St Ste 301, Eugene, OR. 97401 800-813-2000

F Y None N

Bethany S Rowland, PMHNP

Rowland, Bethany, PMHNP 921 SW Washington Ste 812, Portland, OR. 97205

800-813-2000

F Y None Y

Kathleen A Ruberg, MSW

Reflections Counseling, LLC 4531 SE Belmont St Ste

310, Portland, OR. 97215 800-813-2000

F Y None Y

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Page 123 19415_9-19

Sarah M Rundell, LMHC

Columbia Wellness - Child and Family 720 14th Ave Ste 200, Longview, WA. 98632

800-813-2000

F Y None Y

Sarah M Rundell, LMHCColumbia Wellness 921 14th Ave, Longview, WA. 98632

800-813-2000F Y None Y

Cynthia K Rutto, PMHNP

Rutto, Cynthia, PMHNP 5440 SW Westgate Dr Ste 175, Portland, OR. 97221

800-813-2000

F Y None Y

David Ryan, LCSW

Connections First, LLC 3939 NE Hancock St Ste 307, Portland, OR. 97212

800-813-2000

M Y NoneSer-

bo-Croa-tian

Y

David Ryan, LCSW

Connections First, LLC- Flan-ders St 2250 NW Flanders St Ste 201, Portland, OR. 97210

800-813-2000

M Y NoneSer-

bo-Croa-tian

Y

Stephen D Saeks, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Chelsea M Saettone, LCSW

Portland Clinic - Down-town Office 800 SW 13th Ave, Portland, OR. 97205

800-813-2000

F Y None Y

Natasha A Salemme, LPC

Bridge City Counseling 712 SE Hawthorne Blvd Ste 100, Portland, OR. 97214

800-813-2000

F Y None Y

Eugenia Salomon, LMFT

Portland Trauma Recovery, LLC 2105 NE Cesar E Chavez Blvd Ste 200, Portland, OR.

97212 800-813-2000

F Y None Y

H R Sampley, MD

PeaceHealth Medical Group Oregon - Behavioral Health - RiverBend 3333 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M Y None N

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Page 124 19415_9-19

Gary M Sampson, PhD

Northwest Psychological Resources, LLC 945 11th

Ave, Longview, WA. 98632 800-813-2000

M Y None Y

Xiomara R Sanchez, LCSW

Balance Center for Children and Families, LLC 7440 SW

Hunziker Rd Ste F, Tigard, OR. 97223 800-813-2000

F Y None Spanish Y

Amy C Sanders, LPC

Bridge City Counseling 712 SE Hawthorne Blvd Ste 100, Portland, OR. 97214

800-813-2000

F Y None Y

Lauranell Scarfo, LCSWScarfo, Lauranell, LCSW 5327

NE Glisan St, Portland, OR. 97213 800-813-2000

F Y None Y

Holly C Schor, LCSW

Ruth Exley, LCSW dba Re-store Therapy, LLC 1235 SE

Morrison St Ste 100, Portland, OR. 97214 800-813-2000

F Y None Y

Susan E Schulz, LCSW

OHSU - Child Development & Rehabilitation Center - Eu-

gene 901 E 18th Ave, Eugene, OR. 97403 800-813-2000

F Y None N

Susan E Schulz, LCSW

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Deborah Scott, LCSW

Straight From the Heart, Inc 5404 N Montana

Ave, Portland, OR. 97217 800-813-2000

F Y None Y

Ryan P Scott, PhD

Vista Counseling and Con-sultation, Inc 1531 Pearl St, Eugene, OR. 97401

800-813-2000

M Y None N

Kelly Selis, LCSWSelis, Kelly, LCSW 5404 N

Montana Ave, Portland, OR. 97217 800-813-2000

F Y None Spanish Y

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Page 125 19415_9-19

Marisha A Senyo, LMFT

Marisha Senyo, LMFT dba Wilsonville Counseling

Center 25030 SW Parkway Ave Ste 1045, Wilsonville, OR.

97070 800-813-2000

F Y None Y

Harold C Sexton, MD

PeaceHealth Medical Group Siuslaw - 340 9th St 340

9th St, Florence, OR. 97439 800-813-2000

M Y None N

Michelle S Sherbon, BCBA

Western Psychological & Counseling - Tualatin 18765

SW Boones Ferry Rd Ste 100, Tualatin, OR. 97062

800-813-2000

F Y None Y

Talia D Shide, LMFT

Northwest Counseling Asso-ciates, LLC 3000 NW Stucki Ave Ste 150, Hillsboro, OR.

97124 800-813-2000

F Y None Y

Nicole Shirvani, MD

PeaceHealth Medical Group Oregon - Behavioral Health - 11th Ave, SSB 3rd Fl 770 E

11th Ave SSB 3rd Fl, Eugene, OR. 97401 800-813-2000

F YAB Psych&Neuro

(Psychiatry)None Y

Michael R Shrifter, PsyD

Portland Clinic The, LLP - Portland South Office 6640

SW Redwood Lane, Portland, OR. 97224 800-813-2000

M Y None N

Bradley Shumate, LMHC

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 420 1200 Hil-yard St Ste 420, Eugene, OR.

97401 800-813-2000

M Y None N

Fred C Siedow, LMHC

Columbia Wellness - Child and Family 720 14th Ave Ste 200, Longview, WA. 98632

800-813-2000

M Y None Y

Fred C Siedow, LMHC

Columbia Wellness - Wood-land 1251 Lewis River Rd Ste

A, Woodland, WA. 98674 800-813-2000

M Y None Y

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Page 126 19415_9-19

Fred C Siedow, LMHCColumbia Wellness 921 14th Ave, Longview, WA. 98632

800-813-2000M Y None Y

Kristine M Simpson, NP

LSC- Legacy Psychiatric Con-sult Liaison 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Kristine M Simpson, NP

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Gillian Sleeman, LMFTNW Anxiety Institute, LLC 32 NE 11th Ave, Portland, OR.

97232 800-813-2000F Y None Y

Drew M Smith, LPC

Ruth Exley, LCSW dba Re-store Therapy, LLC 1235 SE

Morrison St Ste 100, Portland, OR. 97214 800-813-2000

F Y None Y

Fran J Smith, LCSW

Northwest Psychological Resources, LLC 945 11th

Ave, Longview, WA. 98632 800-813-2000

F Y None Y

Lawrence M Smith, LPCDBT Clinic, PC, The 2104 SE Morrison St, Portland, OR.

97214 800-813-2000M Y None Y

Raegan Smith, PhD

OHSU - Child Development & Rehabilitation Center - Eu-

gene 901 E 18th Ave, Eugene, OR. 97403 800-813-2000

M Y None N

Raegan Smith, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Mark E Snider, NP

PeaceHealth Medical Group Oregon - Behavioral Health - 11th Ave 770 E 11th

Ave, Eugene, OR. 97401 800-813-2000

M Y None N

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Page 127 19415_9-19

Mark E Snider, NP

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 460 1200 Hil-yard St Ste 460, Eugene, OR.

97401 800-813-2000

M Y None N

Laurie Sone, MA, LPCSone, Laurie, MA, LPC 833 SW 11th Ste 1018, Portland,

OR. 97205 800-813-2000F Y None Y

Scott D Sonek, PMHNP

LSC- Legacy Psychiatric Con-sult Liaison 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Scott D Sonek, PMHNP

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Megan J Sorensen, CNS

PeaceHealth Medical Group Oregon - Behavioral Health - 11th Ave 770 E 11th

Ave, Eugene, OR. 97401 800-813-2000

F Y None N

Megan J Sorensen, CNS

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 420 1200 Hil-yard St Ste 420, Eugene, OR.

97401 800-813-2000

F Y None N

Allison Spector, LCSW

Connections First, LLC- Flan-ders St 2250 NW Flanders St Ste 201, Portland, OR. 97210

800-813-2000

F Y None Y

Corrigan A Speicher, BCBA

Western Psychological & Counseling - Tualatin 18765

SW Boones Ferry Rd Ste 100, Tualatin, OR. 97062

800-813-2000

F Y None Y

Shirley A Spencer, LPC

PeaceHealth Medical Group Oregon - Univ Dist Behavioral Health - Ste 570 1200 Hilyard

St Ste 570, Eugene, OR. 97401 800-813-2000

F Y None Y

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Page 128 19415_9-19

Jane M Sproul, LPC

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Fiona S Standen, LCSWStages Counseling LLC 7101 Supra Dr Ste D, Albany, OR.

97321 800-813-2000F Y None Y

Kristin E Stanhope, PA

PeaceHealth Medical Group - Lower Columbia - Behav-ioral Health 600 Broadway St, Longview, WA. 98632

800-813-2000

F Y None Y

Sandra M Starr, LCSW

Center for Family Develop-ment, Inc - Springfield Family Physicians 2280 Marcola Rd,

Springfield, OR. 97477 800-813-2000

F Y None N

David B Stimmel, LMFT

Thrive Psychological Ser-vices, PS 1101 Broadway Ste 230, Vancouver, WA. 98660

800-813-2000

M Y None Y

Sandra L Stradley, MSW, LCSW

Stradley, Sandra L, MSW, LCSW 1645 Liberty St SE, Sa-

lem, OR. 97302 800-813-2000F Y None Y

Jonathan Strand, PsyD

Western Psychological & Counseling - Beaverton Bldg A 9670 SW Beaverton-Hills-

dale Hwy Bldg A, Beaverton, OR. 97005 800-813-2000

M Y None Y

Jonathan Strand, PsyD

Western Psychological & Counseling Services, PC 880 SE 82nd Dr, Gladstone, OR.

97027 800-813-2000

M Y None Y

William B Strek, MD

PeaceHealth Medical Group Oregon - Behavioral Health - RiverBend 3333 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M Y None N

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Page 129 19415_9-19

William B Strek, MD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 420 1200 Hil-yard St Ste 420, Eugene, OR.

97401 800-813-2000

M Y None N

Paul J Stretch, LCSW

Straight From the Heart, Inc 5404 N Montana

Ave, Portland, OR. 97217 800-813-2000

M Y None Spanish Y

Lucrecia V Suarez, LCSW

Western Psychological & Counseling - Conexiones

3500 NE Martin Luther King Blvd Ste 200, Portland, OR.

97212 800-813-2000

F Y None Spanish Y

Lucrecia V Suarez, LCSW

Western Psychological & Counseling - East Gresham

2222 E Powell Blvd, Gresham, OR. 97080 800-813-2000

F Y None Spanish Y

Lucrecia V Suarez, LCSW

Western Psychological & Counseling Services, PC 880 SE 82nd Dr, Gladstone, OR.

97027 800-813-2000

F Y None Spanish Y

Elizabeth Tafesse, BCBA

Western Psychological & Counseling - Tualatin 18765

SW Boones Ferry Rd Ste 100, Tualatin, OR. 97062

800-813-2000

F Y None Y

Donald Taylor, PMHNP

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

M Y None Y

Donald Taylor, PMHNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Elizabeth L Taylor, MSW

Childrens Center of Clacka-mas County, The 1713 Penn Ln, Oregon City, OR. 97045

800-813-2000

F Y None Y

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Page 130 19415_9-19

MacKenzie L Taylor, LCSW

Northwest Psychological Resources, LLC 945 11th

Ave, Longview, WA. 98632 800-813-2000

M Y None Y

Kristin L Tebow, LPCNT Cares LLC 1130 SW Morri-son St Ste 417, Portland, OR.

97205 800-813-2000F Y None Y

Vanessa N Therson, LPC

Northwest Counseling Asso-ciates, LLC 3000 NW Stucki Pl Ste 150, Hillsboro, OR. 97124

800-813-2000

F Y None Y

Natalia Tommasi, MA, LPCNT Cares LLC 1130 SW Morri-son St Ste 417, Portland, OR.

97205 800-813-2000F Y None

Spanish; Russian

Y

Natalia Tommasi, MA, LPCNT Cares LLC- Vancouver 750 Officers Row, Vancouver, WA.

98661 800-813-2000F Y None

Spanish; Russian

Y

Christopher K Tongue, PhD

Tongue, Christopher K, PhD 406 NE 4th St Ste 130, Gresh-am, OR. 97030 800-813-2000

M Y None Y

Daniel S Towns, DO

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Robyn L Travis, LPC

Oasis Center for Counseling and Wellness, LLC, The 4305 River Rd N, Keizer, OR. 97303

800-813-2000

F Y None Y

Jessica Tredinick Varas, LPC

Western Psychological & Counseling - Conexiones

3500 NE Martin Luther King Blvd Ste 200, Portland, OR.

97212 800-813-2000

F Y None Spanish Y

Jessica Tredinick Varas, LPC

Western Psychological & Counseling Services, PC 880 SE 82nd Dr, Gladstone, OR.

97027 800-813-2000

F Y None Spanish Y

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Page 131 19415_9-19

Haley G Trontel, PhD

Transitions Professional Center, LLC 3735 SW River

Parkway, Portland, OR. 97239 800-813-2000

F Y None Y

Susan J Ulbright, LCSWUlbright, Susan, LCSW 2935

SE Bluebird Dr, Hillsboro, OR. 97123 800-813-2000

F Y None Y

Myco Van, PsyD

Van, Myco, PsyD 10175 SW Barbur Blvd Ste 306BA,

Portland, OR. 97219 800-813-2000

F Y None Y

Myco Van, PsyD

Van, Myco, PsyD- NE 44th location 1827 NE 44th Ste 230, Portland, OR. 97213

800-813-2000

F Y None Y

Sally J Van Meter, LPC

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Dennis J Viene, PhD

Behavioral Health Center, LLC 399 East 10th Ave Ste

113, Eugene, OR. 97401 800-813-2000

M Y None N

Elizabeth B Villanueva, MS, LMFT

Eugene Pediatric Associates, LLC 995 Willagillespie Rd

Ste 100, Eugene, OR. 97401 800-813-2000

F Y None Y

Kristine A Villanueva, LCSW

Villanueva, Kristine A, LCSW 2695 12th Place SE, Salem, OR. 97302 800-813-2000

F Y None Spanish Y

Heather M Vliet, LPC

Northwest Counseling Asso-ciates, LLC 3000 NW Stucki Ave Ste 150, Hillsboro, OR.

97124 800-813-2000

F Y None Y

Sara J Walker, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Bart J Walsh, LCSWKartini Clinic, PC 3530 N Van-couver Ave Ste 400, Portland,

OR. 97227 800-813-2000M Y None Y

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Page 132 19415_9-19

Bart J Walsh, LCSW

Walsh, Bart, LCSW - N Van-couver Ave 2800 N Vancouver

Ave Ste 118, Portland, OR. 97227 800-813-2000

M Y None Y

Bart J Walsh, LCSWWalsh, Bart, LCSW 1306 SW Bertha Blvd, Portland, OR.

97219 800-813-2000M Y None Y

Karrie P Walters, PhD

Vista Counseling and Con-sultation, Inc 1531 Pearl St, Eugene, OR. 97401

800-813-2000

F Y None N

Rebecca R Wara-Goss, LMFT

Family Ties Counseling Center dba Manalis Mind Body Therapies, LLC 0333

SW Flower St, Portland, OR. 97239 800-813-2000

F Y None Y

Paula C Warme, LMFT

Warme, Paula C, LMFT 1339 Commerce Ave Ste

310D, Longview, WA. 98632 800-813-2000

F Y None Y

Jennifer J Warren, LCSWCounseling on Burnside, Inc 2303 E Burnside St, Portland,

OR. 97214 800-813-2000F Y None Y

Vanessa L Washington, LPC

Sankofa Counseling, LLC 511 SW 10th Ave Ste

1104, Portland, OR. 97205 800-813-2000

F Y None Y

Julianna Waters, LCSW

Julianna Waters, LCSW, LLC 833 SW 11th Ave Ste 428, Portland, OR. 97205

800-813-2000

F Y None Y

Tessa T Waturbury-Wallace, LCSW

Mid-Columbia Family Phy-sicians, PS DBA NorthShore Medical Group 65371 Hwy

14, White Salmon, WA. 98672 800-813-2000

F Y None Y

Chuck Weisser, PhD

Weisser, Chuck, PhD - Port-land Location 1133 NW

21st, Portland, OR. 97209 800-813-2000

M Y None Y

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Page 133 19415_9-19

Chuck Weisser, PhDWeisser, Chuck, PhD 754

Officers Row, Vancouver, WA. 98661 800-813-2000

M Y None Y

Gwen Welch, LCSWWelch, Gwen, LCSW 902

Normandy Ave S, Salem, OR. 97302 800-813-2000

F Y None Y

Gwen Welch, LCSW

Welch, Gwen, LCSW- W 13th Avenue 1355 W 13th Ave, Eugene, OR. 97402

800-813-2000

F Y None N

Justin D Welsh, LMHC, MS

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

M Y None Y

Ryan Wesneski, LCSW

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 460 1200 Hil-yard St Ste 460, Eugene, OR.

97401 800-813-2000

M Y None Y

Julie Westlin-Naigus, LPC

Westlin-Naigus, Julie, LPC 3719 N Williams

Ave, Portland, OR. 97227 800-813-2000

F Y None Y

Andrew White, PhD

Portland DBT Institute, Inc 5200 SW Macadam Ste

580, Portland, OR. 97239 800-813-2000

M YNational Commission

on Certification of Phys Assistants, Inc

None Y

Roderick J Williams, NP

PeaceHealth Medical Group - Lower Columbia - Behav-ioral Health 600 Broadway St, Longview, WA. 98632

800-813-2000

M Y None Y

Robin R Willins, LCSW

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Caitlin Wilpone-Jordan, PsyD

Family Ties Counseling Center dba Manalis Mind Body Therapies, LLC 0333

SW Flower St, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 134 19415_9-19

Karla J Wolf, LPCCounseling on Burnside, Inc 2303 E Burnside St, Portland,

OR. 97214 800-813-2000F Y None Y

Robert M Wolf, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

Solomon Wolf, MD

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

M Y None Russian Y

Solomon Wolf, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Russian Y

John Wolfe, LCSW

Horizon Counseling Ser-vices, LLC 2306 NE Glisan

St, Portland, OR. 97232 800-813-2000

M Y None Y

Susan M Wolfer, LCSWWolfer, Susan M, LCSW 12132

SE Foster Pl, Portland, OR. 97266 800-813-2000

F Y None Y

Laurie A Womack, PMHNP

PeaceHealth Medical Group - Lower Columbia - Behav-ioral Health 600 Broadway,

Longview, WA. 98632 800-813-2000

F Y None Y

Laurie A Womack, PMHNP

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

F Y None Y

Christopher J Worlton, NP

Betts Psychiatric, PC 911 Country Club Rd Ste

340, Eugene, OR. 97401 800-813-2000

M Y None Y

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Page 135 19415_9-19

Deborah Wright, LPC

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 540 1200 Hil-yard St Ste 540, Eugene, OR.

97401 800-813-2000

F Y None N

Bethany M Zander, PsyD

Gibler, Robin, LPC DBA Aiya-na Counseling, LLC 7822 SW Capitol Hwy Ste 5, Portland,

OR. 97219 800-813-2000

F Y None Y

Sarah A Zimmerman, NP

PeaceHealth Medical Group Siuslaw - 340 9th St 340

9th St, Florence, OR. 97439 800-813-2000

F Y None N

Mental Health Counselor

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Anita M Abelsen-Gay, MA, LPC

CenterPointe Therapists, LLC 6901 SE Lake Rd Ste 27, Milwaukie, OR. 97267

800-813-2000

F Y None Y

Kristen Arntzen, LCSW

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

F Y None Y

Linda Berlingen, MA, LPCBerlingen, Linda, MA, LPC

3434 SW Kelly Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Catherine J Bice, LCSW

Birchwood Counseling, LLC 315 E Main St Ste

206, Hillsboro, OR. 97123 800-813-2000

F Y None Y

Laura E Edwards, MS, LPC

Orchid Oakridge Clinic, PC - Wade Creek Clinic 535 NE

6th Ave, Estacada, OR. 97023 800-813-2000

F Y None Y

Peter Gold, LMHCGold, Peter, LMHC 303 E 16th

St Ste 216, Vancouver, WA. 98663 800-813-2000

M Y None Y

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Page 136 19415_9-19

Kristin J Gorton, LMHC

Northwest Psychological Resources, LLC 945 11th

Ave, Longview, WA. 98632 800-813-2000

F Y None Y

Tyler Grissom, LCSW

PeaceHealth Medical Group Oregon - Behavioral Health - 11th Ave, SSB 3rd Fl 770 E

11th Ave SSB 3rd Fl, Eugene, OR. 97401 800-813-2000

M Y None N

Alixandra C Hixson, LMHC

Northwest Psychological Resources, LLC 945 11th

Ave, Longview, WA. 98632 800-813-2000

F Y None Y

Brandon Houston, LPC

Larsen Sanchez Psychology, LLC DBA Portland Mental

Health and Wellness 3050 SE Division St Ste 215, Portland,

OR. 97202 800-813-2000

M Y None Y

Aniezka M Jenissen, LMHC

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

F YAnatomic Pathology

None Y

Aniezka M Jenissen, LMHC

Real Life Counseling, PLLC- Battle Ground 209 E Main St Ste 121, Battle Ground, WA.

98604 800-813-2000

F YAnatomic Pathology

None Y

Aniezka M Jenissen, LMHC

Real Life Counseling, PLLC- West Vancouver 3606 Main St, Vancouver, WA. 98663

800-813-2000

F YAnatomic Pathology

None Y

Jason L Norris, LMHC

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

M Y None Y

Jason L Norris, LMHC

Real Life Counseling, PLLC- Battle Ground 209 E Main St Ste 121, Battle Ground, WA.

98604 800-813-2000

M Y None Y

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Page 137 19415_9-19

Jason L Norris, LMHC

Real Life Counseling, PLLC- West Vancouver 3606 Main St, Vancouver, WA. 98663

800-813-2000

M Y None Y

Amy J Perry, LMHC

Real Life Counseling, PLLC 1498 SE Tech Center Pl Ste 180, Vancouver, WA. 98683

800-813-2000

F Y None Y

Amy J Perry, LMHC

Real Life Counseling, PLLC- Battle Ground 209 E Main St Ste 121, Battle Ground, WA.

98604 800-813-2000

F Y None Y

Amy J Perry, LMHC

Real Life Counseling, PLLC- West Vancouver 3606 Main St, Vancouver, WA. 98663

800-813-2000

F Y None Y

Maureen E Raczko, LPCResolve Therapy, LLC 3419

NE Sandy Blvd, Portland, OR. 97232 800-813-2000

F Y None Y

Elizabeth Reyes, LMFT

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 540 1200 Hil-yard St Ste 540, Eugene, OR.

97401 800-813-2000

F Y None Y

Holly Shumway, LPC

Shumway, Holly, LPC DBA Holly Shumway Counseling 15100 Boones Ferry Rd Ste 850 AB, Lake Oswego, OR.

97035 800-813-2000

F Y None Y

Denise VanDewalker, LPC

Inter-Cultural Center for Psy-chology, LLC 401 Ratcliff Dr SE Ste 10, Salem, OR. 97302

800-813-2000

F Y None Y

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Page 138 19415_9-19

Midwifery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Irene K Beach, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Rebecca W Bruns, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Dana M Cummings, CNM

PeaceHealth Medical Group Oregon - Nurse Midwifery

Birthing Ctr 353 Deadmond Ferry Rd, Springfield, OR.

97477 800-813-2000

F Y None Y

Kanya N DelPozzo, CNM

PeaceHealth Medical Group Oregon - Nurse Midwifery

Birthing Ctr 353 Deadmond Ferry Rd, Springfield, OR.

97477 800-813-2000

F Y None Y

Deborah A Duran Snell, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Elise N Erickson, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Linda Glenn, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Aristotle Griego-Marsh, CNM

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Spanish Y

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Page 139 19415_9-19

Patricia Hanson, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Mary P Harmon, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Sally Hersh, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Laura R Jenson, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Elizabeth Kavanaugh, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YAmerican College of

Nurse Midwives Certi-fication Council

None Spanish Y

Michelle A LaChance, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Thomas W Lloyd, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Jessica-Ann D Mattson, CNM

PeaceHealth Medical Group Oregon - Nurse Midwifery

Birthing Ctr 353 Deadmond Ferry Rd, Springfield, OR.

97477 800-813-2000

F Y None Y

Michele P Megregian, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Christine S Morales, CNM

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

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Page 140 19415_9-19

Julie A O’Neil, CNM

PeaceHealth Medical Group Oregon - Nurse Midwifery

Birthing Ctr 353 Deadmond Ferry Rd, Springfield, OR.

97477 800-813-2000

F Y None Y

Michelle A Phillips, CNM

PeaceHealth Medical Group - Lower Columbia - Wom-ens Health Pavillion 1660

Delaware St, Longview, WA. 98632 800-813-2000

F Y None Y

Gretchen B Schwinn, CNM

PeaceHealth Medical Group - Lower Columbia - Wom-ens Health Pavillion 1660

Delaware St, Longview, WA. 98632 800-813-2000

F Y None Y

Lisa R Tatlock, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Ellen Tilden, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y NoneSpanish; German

Y

Julia M Vance, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Kathleen A Wirtz, ARNP, WHNP-BC

Wirtz, Kathleen A, DBA Birth and Family Midwife-

ry, LLC 1655 Hudson St Ste 1, Longview, WA. 98632

800-813-2000

F YObstetrics

& Gyne-cology

None Y

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Page 141 19415_9-19

Musculoskeletal Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Jason S Graeme, PA-C

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

Thomas L Starbard, DO

Portland Clinic The, LLP - Co-lumbia Office 5847 NE 122nd

Ave Ste 201, Portland, OR. 97230 800-813-2000

M YAOB Neuromusculo-skeletal (Osteo. Ma-nipulative Medicine)

None Y

Thomas L Starbard, DO

Portland Clinic The, LLP - Northeast Office 5005 NE Sandy Blvd, Portland, OR.

97213 800-813-2000

M YAOB Neuromusculo-skeletal (Osteo. Ma-nipulative Medicine)

None Y

Thomas L Starbard, DO

Portland Clinic The, LLP - Ti-gard Medical Office 9250 SW Hall Blvd, Tigard, OR. 97223

800-813-2000

M YAOB Neuromusculo-skeletal (Osteo. Ma-nipulative Medicine)

None Y

Neonatal/Perinatal Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Robert K Huston, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

M Y None Y

Patrick K Lewallen, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

M Y None Y

Rebecca Mischel, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

F Y None French Y

Valerie Newman, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

M Y None Y

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Page 142 19415_9-19

Craig M Novack, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

M Y None Y

Robert L Schelonka, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Pediatrics (Neo-natal-Perinatal), AB

PediatricsNone Spanish Y

Robert L Schelonka, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M YAB Pediatrics (Neo-natal-Perinatal), AB

PediatricsNone Spanish Y

Jamie B Warren, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YAB Pediatrics (Neo-natal-Perinatal), AB

PediatricsNone Y

Neonatology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Dawn M Allen, NNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Dawn M Allen, NNP

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Laura L Aurisy, NNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Frederick W Baker, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

M Y None Y

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Page 143 19415_9-19

Louise Baxter, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

F Y None Y

Adrienne R Bingham, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

M YAB Pediatrics, AB Pediatrics

(Neonatal-Perinatal)None Y

Kacy L Bradshaw, NNP

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Howard S Cohen, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

M Y None Y

Howard S Cohen, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Howard S Cohen, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

Cindy Davis, NP

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Angela Y Douglas, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y NoneMandarin (Chinese dialect)

Y

Dmitry Dukhovny, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Dmitry Dukhovny, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

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Page 144 19415_9-19

John O Evered, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

M Y None Y

John O Evered, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

John O Evered, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

Breton Freitag, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

M Y None Y

Monique Hapgood, NNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Amanda J Kim, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Wannasiri Lapcharoensap, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Candice E Lengyel, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

F Y None Y

Douglas T Leonard, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Marissa C Macedo, NNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 145 19415_9-19

Marissa C Macedo, NNP

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Cynthia T McEvoy, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Daniel K Morrow, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Pediatrics, AB Pediatrics

(Neonatal-Perinatal)None Y

Daniel K Morrow, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M YAB Pediatrics, AB Pediatrics

(Neonatal-Perinatal)None Y

Martha Nelson, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

F Y None Y

Robert K Parker, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Theodore D Pawlik, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

M Y None Y

Sarah E Pearce, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

F Y None Y

Magdalena Petryniak, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Magdalena Petryniak, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

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Page 146 19415_9-19

Astrid Platteau, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Stefanie P Rogers, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

F Y None Y

Carrie A Scheckla, NNP

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Brian P Scottoline, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

M Y NoneSpanish; Russian

Y

Brian P Scottoline, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y NoneSpanish; Russian

Y

Brian P Scottoline, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y NoneSpanish; Russian

Y

Sue Ann Smith, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Sue Ann Smith, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Kara J Stirling, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

F Y None Y

Sean L Sweeney, DO

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

M Y None Y

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Page 147 19415_9-19

Amanda Swinehart, NNP

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Tiffany L Wright, NNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Nephrology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Amira Al-Uzri, MD

OHSU - Doernbecher Special-ty Pediatrics Westside 15220

NW Laidlaw Ste 102, Portland, OR. 97229 800-813-2000

M YPediatric Nephrol-

ogyNone Y

Amira Al-Uzri, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YPediatric Nephrol-

ogyNone Y

Sharon Anderson, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Andreea L Andone, MDKidney Care Physicians, LLC 875 Oak St SE Ste 5070, Sa-

lem, OR. 97301 800-813-2000F Y None Y

Pavan Chopra, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Hindi Y

David M Cohen, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Mahesh Dangal, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

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Page 148 19415_9-19

Aneet J Deo, MDKidney Care Physicians, LLC 875 Oak St SE Ste 5070, Sa-

lem, OR. 97301 800-813-2000F Y None Y

Lance M Dicker, MDKidney Care Physicians, LLC 875 Oak St SE Ste 5070, Sa-

lem, OR. 97301 800-813-2000M Y None Y

Tonja C Dirkx, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

David H Ellison, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Shannon Fay, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Pavan Kumar K Gona, MDKidney Care Physicians, LLC 875 Oak St SE Ste 5070, Sa-

lem, OR. 97301 800-813-2000M Y None Y

William G Gutheim, MD

Eugene Springfield Ne-phrology Associates, PC 3355 Riverbend Dr Ste

200, Springfield, OR. 97477 800-813-2000

M Y None Y

Majd A Isreb, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Arabic Y

Robert H Joseph, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

Mary Labib, MD

Eugene Springfield Ne-phrology Associates, PC 3355 Riverbend Dr Ste

200, Springfield, OR. 97477 800-813-2000

F Y None Y

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Page 149 19415_9-19

Eva Lee, MDKidney Care Physicians, LLC 875 Oak St SE Ste 5070, Sa-

lem, OR. 97301 800-813-2000F Y None Y

Joseph B Lockridge, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Ramesh Marahatta, MD

Eugene Springfield Ne-phrology Associates, PC 3355 Riverbend Dr Ste

200, Springfield, OR. 97477 800-813-2000

M Y Allergy None Y

Brett Mikeska, MDKidney Care Physicians, LLC 875 Oak St SE Ste 5070, Sa-

lem, OR. 97301 800-813-2000M Y None Y

Misha Mohindra, MDKidney Care Physicians, LLC 875 Oak St SE Ste 5070, Sa-

lem, OR. 97301 800-813-2000M Y None Y

Douglas J Norman, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Denis Privalov, MDKidney Care Physicians, LLC 875 Oak St SE Ste 5070, Sa-

lem, OR. 97301 800-813-2000M Y None Russian Y

Shehzad Rehman, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Justine Ricker, PA-C

Eugene Springfield Ne-phrology Associates, PC 3355 Riverbend Dr Ste

200, Springfield, OR. 97477 800-813-2000

F Y None Y

Jose F Rueda, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Jagannath Saikumar, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

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Page 150 19415_9-19

Shalini R Sanghvi, MD

Eugene Springfield Ne-phrology Associates, PC

3355 RiverBend Dr Ste 200, Springfield, OR. 97477

800-813-2000

M YAB Internal Med-icine, AB Int Med

(Nephrology)None Y

Sandeep Vetteth, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

Jessica W Weiss, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Raghav Wusirika, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Charles R Zachem, DO

Eugene Springfield Ne-phrology Associates, PC 3355 Riverbend Dr Ste

200, Springfield, OR. 97477 800-813-2000

M Y None Y

Neurological Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Joanna K Adams, PA

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Carmina F Angeles, MD

NeuroSpine Group, LLC, The 74B Centennial Loop

Ste 100, Eugene, OR. 97401 800-813-2000

F YAB Neurological Sur-

gery (Neuro Surg)None Y

Lissa C Baird, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

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Page 151 19415_9-19

Micah D Bates, PA

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Jessica L Brooks, PA-C

Capital Neurosugery Spe-cialists, LLC 875 Oak St Ste

5060, Salem, OR. 97301 800-813-2000

F Y None Y

Kim J Burchiel, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Justin S Cetas, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Jason J Chang, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None

Taiwan-ese;

Mandarin (Chinese dialect)

Y

Jeremy N Ciporen, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Valerie C Coon, MD

PeaceHealth Medical Group Oregon - Oregon Neuro-surgery 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F YAB Neurological Sur-

gery (Neuro Surg)None Y

Aclan Dogan, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Turkish Y

Wendy O Domreis, PS

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Catherine J Gallo, MD

NeuroSpine Group, LLC, The 74B Centennial Loop

Ste 100, Eugene, OR. 97401 800-813-2000

F YAB Neurological Sur-

gery (Neuro Surg)None Y

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Page 152 19415_9-19

Charles V Hatchette, MD

Capital Neurosugery Spe-cialists, LLC 875 Oak St Ste

5060, Salem, OR. 97301 800-813-2000

F Y None Y

Daniel S Hutton, DO

PeaceHealth Medical Group Oregon - Neurosurgery

3355 RiverBend Dr Ste 400, Springfield, OR. 97477

800-813-2000

F Y None Y

Jeffrey Johnson, MD

Portland Neurosurgery, PC 9155 SW Barnes Rd Ste 836, Portland, OR. 97225

800-813-2000

M Y None Y

Jason A Kocian, PA-CKeiperSpine, PC 1410 Oak St Ste 200, Eugene, OR. 97401

800-813-2000M Y None Y

Andrew J Kokkino, MD

PeaceHealth Medical Group Oregon - Neurosurgery

3355 RiverBend Dr Ste 400, Springfield, OR. 97477

800-813-2000

M Y None Y

Jesse J Liu, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Christopher G Miller, MD

NeuroSpine Group, LLC, The 74B Centennial Loop

Ste 100, Eugene, OR. 97401 800-813-2000

M YAB Neurological Sur-

gery (Neuro Surg)None Y

Michael J Nanaszko, MD

Capital Neurosugery Spe-cialists, LLC 875 Oak St Ste

5060, Salem, OR. 97301 800-813-2000

M Y None Y

Edward Neuwelt, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 153 19415_9-19

Linh H Nguyen, PA-C

NeuroSpine Group, LLC, The 74B Centennial Loop

Ste 100, Eugene, OR. 97401 800-813-2000

F Y None Y

Dara S Ono, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Ralph G Peterson, PA-CKeiperSpine, PC 1410 Oak St Ste 200, Eugene, OR. 97401

800-813-2000M Y None Y

Sean T Rabacal, PAC

NeuroSpine Group, LLC, The 74B Centennial Loop

Ste 100, Eugene, OR. 97401 800-813-2000

M Y None Y

Ahmed M Raslan, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Janette K Remling, PA

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Donald A Ross, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Debra E Roth, PA-C

NeuroSpine Group, LLC, The 74B Centennial Loop

Ste 100, Eugene, OR. 97401 800-813-2000

F Y None Y

Neil Roundy, MD

PeaceHealth Medical Group Oregon - Neurosurgery

3355 RiverBend Dr Ste 400, Springfield, OR. 97477

800-813-2000

M Y None Y

Christine M Sayama, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

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Page 154 19415_9-19

Christine M Sayama, MD

OHSU - Neurosurgery at South Lake Center 16877 SW 65th Ave, Lake Oswego, OR.

97035 800-813-2000

F Y None Spanish Y

Nathan Selden, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y NoneSpanish;

ItalianY

Nathan Selden, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M Y NoneSpanish;

ItalianY

Jonathan D Sherman, MDKeiperSpine, PC 1410 Oak St Ste 200, Eugene, OR. 97401

800-813-2000M Y None Y

David A Siker, MDSpecialty Neuro, PC 1800 NE 2nd Ave, Portland, OR. 97212

800-813-2000M Y None Y

Khoi D Than, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y NoneViet-

namese; Spanish

Y

Catherine E Thompson, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Vivek Unni, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Megan K Wolfram, PA

Capital Neurosugery Special-ists, LLC - Oak Street 875 Oak St Ste 5085, Salem, OR. 97301

800-813-2000

F Y None Y

Laurie D Yablon, NP

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 155 19415_9-19

Laurie D Yablon, NP

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

F Y None Y

Julie E York, MD

Capital Neurosugery Special-ists, LLC - Oak Street 875 Oak St Ste 5085, Salem, OR. 97301

800-813-2000

F Y None Y

Neurology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Sherif Al-Hawarey, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y

American Board of Psychiatry & Neurolo-

gy, AB (Neurology)None

Spanish; Arabic

Y

Sherif Al-Hawarey, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M YAmerican Board of

Psychiatry & Neurolo-gy, AB (Neurology)

NoneSpanish; Arabic

Y

Prakash Ambady, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Shannon D Anderson, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Amanda J Avila, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Michael Balm, MD

Neurology Associates of Eugene-Springfield, PC DBA Oregon Neurology Associ-ates 3355 RiverBend Dr Ste 410, Springfield, OR. 97477

800-813-2000

M Y None Y

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Page 156 19415_9-19

Gordon E Banks, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Gordon E Banks, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

Sara S Batya, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F Y None Y

Eilis A Boudreau, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Dennis Bourdette, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Hormozd Bozorgchami, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Farsi Y

Michah J Brasseur, MD

Portland Clinic The, LLP - East Medical Office 541 NE 20th Ave Ste 210, Portland, OR.

97232 800-813-2000

M YAB Neurological

SurgeryNone Y

Michah J Brasseur, MD

Portland Clinic The, LLP - Northeast Office 5005 NE Sandy Blvd, Portland, OR.

97213 800-813-2000

M YAB Neurological

SurgeryNone Y

Michah J Brasseur, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

M YAB Neurological

SurgeryNone Y

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Page 157 19415_9-19

Matthew A Brodsky, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Cesar D Caceres, ACNP

Columbia Anesthesia Group, PS 400 NE Mother Joseph Pl, Vancouver, WA. 98684

800-813-2000

M Y None Y

Michelle H Cameron, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Shaohua Chen, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y None

Mandarin (Chinese dialect);

Can-tonese

(Chinese dialect)

Y

Shaohua Chen, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None

Mandarin (Chinese dialect);

Can-tonese

(Chinese dialect)

Y

Kathryn A Chung, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

David A Clark, DO

Neurology Associates of Eugene-Springfield, PC DBA Oregon Neurology Associ-ates 3355 RiverBend Dr Ste 410, Springfield, OR. 97477

800-813-2000

M Y None Y

Wayne M Clark, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 158 19415_9-19

John Dempster, MD

LSC - Legacy Salmon Creek Neurology 2121 NE 139th

St Ste 400, Vancouver, WA. 98686 800-813-2000

M Y None Y

John Dempster, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Donald Denney, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Alexandra K Dimitrova, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y NoneSpanish; Russian;

BulgarianY

Julia C Durrant, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Raymond Englander, MD

Neurology Associates of Eugene-Springfield, PC DBA Oregon Neurology Associ-ates 3355 RiverBend Dr Ste 410, Springfield, OR. 97477

800-813-2000

M Y None Y

Lia D Ernst, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Deniz Erten Lyons, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Aixa D Espinosa-Morales, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Spanish Y

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Page 159 19415_9-19

Alberto R Figueroa-Garcia, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Spanish Y

Jessica P Floyd, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F YAB Psych&Neuro

(Neurology)None Y

Jeffrey R Frank, MD

Neurology Associates of Eugene-Springfield, PC DBA Oregon Neurology Associ-ates 3355 RiverBend Dr Ste 410, Springfield, OR. 97477

800-813-2000

M Y None Y

Joseph D Freeburg, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Paula A Gerber-Gore, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000F Y None Y

John P Hammerstad, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Adam L Heller, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Mark O Herring, MD

Neurology Associates of Eugene-Springfield, PC DBA Oregon Neurology Associ-ates 3355 RiverBend Dr Ste 410, Springfield, OR. 97477

800-813-2000

M Y None Y

Amie L Hiller, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 160 19415_9-19

William L Hills, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Holly E Hinson, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Penelope Hogarth, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

F Y None Y

Penelope Hogarth, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Kimberly Hutchison, MD

OHSU - Psychiatry Mar-riott 2115 SW River Park-way, Portland, OR. 97201

800-813-2000

F Y None Y

Kimberly Hutchison, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Jim A James, MD

WVC - Willamette Valley Neurology 2700 SE Stratus

Ave, McMinnville, OR. 97128 800-813-2000

M Y None Y

Joan M Jensen, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F Y None Y

Chafic Karam, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y NoneSpanish; French; Arabic

Y

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Page 161 19415_9-19

Richard D Karem, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Richard D Karem, MD

PeaceHealth Sacred Heart Physicians - Neurohospitalists 3311 RiverBend Dr OHVI 3rd

Flr, Springfield, OR. 97477 800-813-2000

M Y None Y

Jeffrey Kaye, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

James H Kiley, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

M Y None German Y

Edward Kim, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Jeff Kraakevik, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Michael A Lane, MD

OHSU - Center for Health and Healing Clinics 3303 SW Bond Ave Ste 8, Portland, OR.

97239 800-813-2000

M Y None Y

Michael A Lane, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Helmi Lutsep, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Brook M Madden, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F Y

Clinical Neuro-physiol-

ogy

AB Psych&Neuro (Neurology)

None Y

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Page 162 19415_9-19

Brook M Madden, MD

Portland Clinic The, LLP - Portland South Office 6640

SW Redwood Lane, Portland, OR. 97224 800-813-2000

F Y

Clinical Neuro-physiol-

ogy

AB Psych&Neuro (Neurology)

None Y

Leon B Marshall, DO

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Kimberly M Martinez, NP

WVC - Willamette Valley Neurology 2700 SE Stratus

Ave, McMinnville, OR. 97128 800-813-2000

F Y None Y

Michele Mass, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Matthew G McCaskill, DO

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Paul V Motika, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Andrew J Natonson, MD

OHSU - Center for Health and Healing Clinics 3303 SW Bond Ave Ste 8, Portland, OR.

97239 800-813-2000

M Y None Y

Andrew J Natonson, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Lawrence H Neville, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

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Page 163 19415_9-19

John G Nutt, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Barry Oken, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Suvarna R Palla, MD

Portland Clinic The, LLP - Portland South Office 6640

SW Redwood Lane, Portland, OR. 97224 800-813-2000

F YSleep

Medicine

American Board of Sleep Medi-

cine (ABSM), AB Psych&Neuro (Neurology)

None Hindi Y

Ronald F Pfeiffer, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Parvez J Pohowalla, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y None Y

Juliette S Preston, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None French Y

Joseph F Quinn, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Martin C Salinsky, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Clifford J Schostal, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

Thye M Schuyler, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

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Page 164 19415_9-19

Lisa C Silbert, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Asha Singh, MD

OHSU - Psychiatry Mar-riott 2115 SW River Park-way, Portland, OR. 97201

800-813-2000

F Y None Y

Asha Singh, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Gurjeet Singh, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y Psychiatry None Y

W B Smith, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Rebecca Spain, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

David C Spencer, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Tarvez Tucker, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Douglas A Valenta, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M YAB Psych&Neuro

(Neurology)None Y

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Page 165 19415_9-19

Ruchi Wanchoo, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Ruth Whitham, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Michael L Wynn, DOSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y None Y

Michael L Wynn, DO

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

Vijayshree Yadav, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Christine Yedinak, NP

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Mohammed N Zaman, DO

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Nuclear Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Mathews B Fish, MD

PeaceHealth Sacred Heart Physicians - Cardiology - Bay Area Hospital 1775 Thomp-

son Rd, Coos Bay, OR. 97420 800-813-2000

M Y

AB Nuclear Med (Nuc Med), AB Pathology (Anatomic/Clinical

Path)

None Y

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Page 166 19415_9-19

Mathews B Fish, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Coos Bay 1900 Woodland Dr, Coos Bay, OR. 97420

800-813-2000

M Y

AB Nuclear Med (Nuc Med), AB Pathology (Anatomic/Clinical

Path)

None Y

Mathews B Fish, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

Florence 310 9th St, Florence, OR. 97439 800-813-2000

M Y

AB Nuclear Med (Nuc Med), AB Pathology (Anatomic/Clinical

Path)

None Y

Mathews B Fish, MD

PeaceHealth Sacred Heart Physicians - Cardiology -

RiverBend 3311 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M Y

AB Nuclear Med (Nuc Med), AB Pathology (Anatomic/Clinical

Path)

None Y

Hasan G Osman, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M YAB Nuclear Med (Nuc

Med)None Arabic Y

Nurse Midwifery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Jaya N Martin, CNM

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Samantha Rynearson, CNM

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Tamara J Wilson, CNM

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

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Page 167 19415_9-19

Nurse Practitioner

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Kristen E Konig, FNP

ICCO, LLC - Nova Primary Care - Coburg 1800 Co-

burg Rd, Eugene, OR. 97401 800-813-2000

F Y None N

Robin Perez, PMHNPPerez, R L, PC 409 NW 2nd

Ave Ste B, Canby, OR. 97013 800-813-2000

M Y None Y

Kristi Vaughn, NP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Obstetrics

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Karen Adams, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Obstetrics & Gynecology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Katie G Alton, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

F Y None Y

Karen L Archabald, MD

LSC - Legacy Center for Maternal-Fetal Medicine 2101 NE 139th St Ste 360, Vancou-ver, WA. 98686 800-813-2000

F Y AB ObGyn None Y

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Page 168 19415_9-19

Karen L Archabald, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y AB ObGyn None Y

Susan J Armstrong, NP

Womens Care, PC - Fertility Center of Oregon 590 Coun-try Club Pkwy Ste A, Eugene,

OR. 97401 800-813-2000

F Y None N

Katherine M Au, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Douglas J Austin, MD

Womens Care, PC - Fertility Center of Oregon 590 Coun-try Club Pkwy Ste A, Eugene,

OR. 97401 800-813-2000

M Y None N

Cristin J Babcock, MD

PeaceHealth Medical Group Oregon - Univ Dist Gyne-cology 1200 Hilyard St Ste

510, Eugene, OR. 97401 800-813-2000

F Y None N

Anya J Bailis, MD

LSC - Legacy Center for Maternal-Fetal Medicine 2101 NE 139th St Ste 360, Vancou-ver, WA. 98686 800-813-2000

F YMaternal & Fetal

MedicineNone Y

Anya J Bailis, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F YMaternal & Fetal

MedicineNone Y

Keith D Balderston, MD

Womens Care, PC - Center for Genetics and Maternal Fetal

Medicine 3355 RiverBend Dr Ste 210, Springfield, OR.

97477 800-813-2000

M Y None N

Maureen K Baldwin, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

F Y NoneSpanish; Russian

Y

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Page 169 19415_9-19

Maureen K Baldwin, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y NoneSpanish; Russian

Y

Chelsea W Ban, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Patricia M Barnes, CNM, NP

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F YAmerican College of

Nurse Midwives Certi-fication Council

None Y

Lisa Bayer, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

F YAmerican Board

of Obstetrics and Gynecology

None Spanish Y

Lisa Bayer, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YAmerican Board

of Obstetrics and Gynecology

None Spanish Y

Amy D Bednar, MD

LSC - Legacy Center for Maternal-Fetal Medicine 2101 NE 139th St Ste 360, Vancou-ver, WA. 98686 800-813-2000

F Y None Spanish Y

Amy D Bednar, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Spanish Y

Paula Bednarek, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

F YAmerican Board

of Obstetrics and Gynecology

None Y

Paula Bednarek, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YAmerican Board

of Obstetrics and Gynecology

None Y

Byrke O Beller, MD

Pacific Womens Center, LLC 10 Coburg Rd Ste

100, Eugene, OR. 97401 800-813-2000

M Y AB ObGyn NoneSpanish; French

N

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Page 170 19415_9-19

Michelle Berlin, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Gillian M Betterton, MD

Pacific Womens Center, LLC 10 Coburg Rd Ste

100, Eugene, OR. 97401 800-813-2000

F Y None N

Richard A Beyerlein, MD

Pacific Womens Center, LLC 10 Coburg Rd Ste

100, Eugene, OR. 97401 800-813-2000

M Y None N

David K Bishop, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

Kimberly A Bock, MD

Womens Care, PC 3100 Martin Luther King Jr Pkwy,

Springfield, OR. 97477 800-813-2000

F Y None N

Jennifer C Brewer, MDSantiam Womens Clinic 1373

N 10th Ave, Stayton, OR. 97383 800-813-2000

F Y AB ObGyn None Y

Michelle L Brookey, NP, CNM

Womens Care, PC - Fertility Center of Oregon 590 Coun-try Club Pkwy Ste A, Eugene,

OR. 97401 800-813-2000

F Y None N

Kathleen F Brookfield, MD, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Kathleen F Brookfield, MD, PhD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Aaron B Caughey, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 171 19415_9-19

Aaron B Caughey, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

William F Cely, MD

PeaceHealth Medical Group Siuslaw - 340 9th St 340

9th St, Florence, OR. 97439 800-813-2000

M Y AB ObGyn None Spanish N

Charlotte Clausen, MD

Womens Care, PC - Center for Genetics and Maternal Fetal

Medicine 3355 RiverBend Dr Ste 210, Springfield, OR.

97477 800-813-2000

F Y None N

Fred H Coleman, MD

LSC - Legacy Center for Maternal-Fetal Medicine 2101 NE 139th St Ste 360, Vancou-ver, WA. 98686 800-813-2000

M YMaternal & Fetal

Medicine

American Board of Obstetrics and

GynecologyNone Y

Fred H Coleman, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M YMaternal & Fetal

Medicine

American Board of Obstetrics and

GynecologyNone Y

Fred H Coleman, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

M YMaternal & Fetal

Medicine

American Board of Obstetrics and

GynecologyNone Y

Alyssa C Colwill, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

F Y None Y

Brant L Cooper, MD

Womens Care, PC - Country Club 590 Country Club Pkwy

Ste B, Eugene, OR. 97401 800-813-2000

M Y None N

Robert C Cruz, MD

PeaceHealth Medical Group - Lower Columbia - Wom-ens Health Pavillion 1660

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

Koenraad De Geest, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAmerican Board

of Obstetrics and Gynecology

None Y

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Page 172 19415_9-19

Koenraad De Geest, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M YAmerican Board

of Obstetrics and Gynecology

None Y

Michelle H DeGeest, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Connie S DiMarco, MD

Oregon Urology Institute, PC 2400 Hartman Ln Ste

200, Springfield, OR. 97477 800-813-2000

F Y None N

Emily S Downing-Moore, CNM

PeaceHealth Medical Group Oregon - Nurse Midwifery

Birthing Ctr 353 Deadmond Ferry Rd, Springfield, OR.

97477 800-813-2000

F Y None N

Stephanie E Dukhovny, MD

Lovejoy Surgicenter 933 NW 25th Ave, Portland, OR. 97210

800-813-2000F Y None Y

Stephanie E Dukhovny, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Stephanie E Dukhovny, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Amanda M Ecker, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Alison B Edelman, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

F YAmerican Board

of Obstetrics and Gynecology

None Spanish Y

Alison B Edelman, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YAmerican Board

of Obstetrics and Gynecology

None Spanish Y

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Page 173 19415_9-19

Kimberly A Edwards, MD

Pacific Womens Center, LLC 10 Coburg Rd Ste

100, Eugene, OR. 97401 800-813-2000

F Y None N

Melissa D Edwards, MD

Womens Care, PC - Country Club 590 Country Club Pkwy

Ste B, Eugene, OR. 97401 800-813-2000

F Y None N

Sharon R Edwards, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Cathy L Emeis, CNM

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Adrienne Fisher, NP

Womens Care, PC 3100 Martin Luther King Jr Pkwy,

Springfield, OR. 97477 800-813-2000

F Y None N

Sara Gerhards, MD

Pacific Womens Center, LLC 10 Coburg Rd Ste

100, Eugene, OR. 97401 800-813-2000

F Y None N

Martha F Goetsch, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None German Y

William T Gregory, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Jeanne Marie R Guise, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Rinathia Hachmon, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 174 19415_9-19

Leo Han, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

M YAmerican Board

of Obstetrics and Gynecology

None Y

Leo Han, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAmerican Board

of Obstetrics and Gynecology

None Y

John R Hannig, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

Joanna L Hatfield, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Julie A Haugen, MD

Pacific Womens Center, LLC 10 Coburg Rd Ste

100, Eugene, OR. 97401 800-813-2000

F Y None N

Matthew M Haugen, MD

Womens Care, PC - Country Club 590 Country Club Pkwy

Ste B, Eugene, OR. 97401 800-813-2000

M Y None N

Christine Heritage, CNM

PeaceHealth Medical Group Oregon - Nurse Midwifery

Birthing Ctr 353 Deadmond Ferry Rd, Springfield, OR.

97477 800-813-2000

F Y None Spanish N

David Herrmann, MD

Womens Care, PC 3100 Martin Luther King Jr Pkwy,

Springfield, OR. 97477 800-813-2000

M Y None N

Johanna Higdon, MD

Womens Care, PC - Country Club 590 Country Club Pkwy

Ste B, Eugene, OR. 97401 800-813-2000

F Y None N

Johanna Higdon, MD

Womens Care, PC - Country Club 590 Country Club Pkwy

Ste B, Eugene, OR. 97401 800-813-2000

F Y None Y

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Page 175 19415_9-19

Karina M Hoan, MD

Portland Clinic The, LLP - East Medical Office 541 NE 20th Ave Ste 210, Portland, OR.

97232 800-813-2000

F YAmerican Board

of Obstetrics and Gynecology

None N

Karina M Hoan, MD

Portland Clinic The, LLP - Northeast Office 5005 NE Sandy Blvd, Portland, OR.

97213 800-813-2000

F YAmerican Board

of Obstetrics and Gynecology

None N

Karina M Hoan, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

F YAmerican Board

of Obstetrics and Gynecology

None N

Jeffrey T Jensen, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Paula H Jewett, MD

Womens Care, PC 3100 Martin Luther King Jr Pkwy,

Springfield, OR. 97477 800-813-2000

F Y None N

Katherine Jorda, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Meera M Kanakia, ANP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Kristy M Kelel, MD

Womens Care, PC 3100 Martin Luther King Jr Pkwy,

Springfield, OR. 97477 800-813-2000

F Y None N

Virginia G King, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Claudia Knight, DO

PeaceHealth Medical Group Oregon - Univ Dist Gyne-cology 1200 Hilyard St Ste

510, Eugene, OR. 97401 800-813-2000

F Y None Y

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Page 176 19415_9-19

Kelly Kuo, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Brooke H Kyle, MD

Womens Care, PC 3100 Martin Luther King Jr Pkwy,

Springfield, OR. 97477 800-813-2000

F Y None N

Sophia Lannon, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

F Y None Y

Catherine M Leclair, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Saeyeal K Lee, MD

PeaceHealth Medical Group - Lower Columbia - Wom-ens Health Pavillion 1660

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

Jamie O Lo, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None

Mandarin (Chinese dialect);

Can-tonese

(Chinese dialect)

Y

Jamie O Lo, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None

Mandarin (Chinese dialect);

Can-tonese

(Chinese dialect)

Y

Laura E Loffredo, DO

PeaceHealth Medical Group - Lower Columbia - Wom-ens Health Pavillion 1660

Delaware St, Longview, WA. 98632 800-813-2000

F Y None Spanish Y

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Page 177 19415_9-19

Cheryl Lugenbill, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Heather A Mackay-Gimino, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Maria E Magnuson, ARNP

PeaceHealth Medical Group - Lower Columbia - Wom-ens Health Pavillion 1660

Delaware St, Longview, WA. 98632 800-813-2000

F Y None Y

Melissa Mannke, WHCNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Nicole E Marshall, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Nicole E Marshall, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Spanish Y

Stacy McCarty, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Mary R McDonald, CNM

PeaceHealth Medical Group Siuslaw - 340 9th St 340

9th St, Florence, OR. 97439 800-813-2000

F Y None N

Meagan McFarland, FNP

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Patrick A Merrill, MD

LSC - Legacy Center for Maternal-Fetal Medicine 2101 NE 139th St Ste 360, Vancou-ver, WA. 98686 800-813-2000

M Y None Spanish Y

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Page 178 19415_9-19

Patrick A Merrill, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Spanish Y

Macella R Messerle Forbes, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

John F Mission, MD

LSC - Legacy Center for Maternal-Fetal Medicine 2101 NE 139th St Ste 360, Vancou-ver, WA. 98686 800-813-2000

M Y None Y

John F Mission, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Timothy Mitchell, MD

Womens Care, PC - Center for Genetics and Maternal Fetal

Medicine 3355 RiverBend Dr Ste 210, Springfield, OR.

97477 800-813-2000

M Y None N

Melissa N Moffitt, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Melissa N Moffitt, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Spanish Y

Amy L Mulcaster, DO

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F YAOB Obstetrics & Gynecology (OG)

None N

Amy L Mulcaster, DO

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

F YAOB Obstetrics & Gynecology (OG)

None N

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Page 179 19415_9-19

Duncan R Neilson, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Mark D Nichols, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

M Y None Y

Mark D Nichols, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Katheryn A Nielsen, CNM

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Cassandra Niemi, MD

Northwest Cancer Specialists, PC dba Compass Oncolo-gy 9555 SW Barnes Rd Ste 150, Portland, OR. 97225

800-813-2000

F Y None Y

Andrea R ODonnell, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Margaret M Oreilly, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Blake C Osmundsen, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Spanish Y

Emmanuelle Pare, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

F Y None French Y

Emmanuelle Pare, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None French Y

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Page 180 19415_9-19

Emmanuelle Pare, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None French Y

Robert Park, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Korean Y

Eva B Patil, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

F Y None German Y

Linda S Price, MD

PeaceHealth Medical Group Siuslaw - 340 9th St 340

9th St, Florence, OR. 97439 800-813-2000

F Y None N

Patricia M Reddy, CNM

PeaceHealth Medical Group Oregon - Nurse Midwifery

Birthing Ctr 353 Deadmond Ferry Rd, Springfield, OR.

97477 800-813-2000

F Y None N

Jessica Reid, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

F Y None Y

Lisa A Rice, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Victoria A Rice, ARNP

PeaceHealth Medical Group - Lower Columbia - Wom-ens Health Pavillion 1660

Delaware St, Longview, WA. 98632 800-813-2000

F Y NoneSpanish; French

Y

Kelly L Rickman, CNM

PeaceHealth Medical Group Oregon - Nurse Midwifery

Birthing Ctr 353 Deadmond Ferry Rd, Springfield, OR.

97477 800-813-2000

F Y None N

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Page 181 19415_9-19

Patricia A Robertson, MD

LSC - Legacy Center for Maternal-Fetal Medicine 2101 NE 139th St Ste 360, Vancou-ver, WA. 98686 800-813-2000

F Y None Spanish Y

Patricia A Robertson, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Spanish Y

Maria I Rodriguez, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

F YAmerican Board

of Obstetrics and Gynecology

None Spanish Y

Maria I Rodriguez, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YAmerican Board

of Obstetrics and Gynecology

None Spanish Y

Kristine K Roesen, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Heather E Ross, DO

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

F Y None Y

Keita Sakon, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

Tina S Schnapper, MD

Womens Care, PC - Country Club 590 Country Club Pkwy

Ste B, Eugene, OR. 97401 800-813-2000

F Y None N

Gregory P Schroff, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Yvonne M Sculley, MD

PeaceHealth Medical Group Siuslaw - 340 9th St 340

9th St, Florence, OR. 97439 800-813-2000

F Y None N

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Page 182 19415_9-19

Meghan A Seeley, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Brian L Shaffer, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Brian L Shaffer, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

Lishiana S Shaffer, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Wendy J Smith, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Anna R Snyder, CNM

PeaceHealth Medical Group Oregon - Nurse Midwifery

Birthing Ctr 353 Deadmond Ferry Rd, Springfield, OR.

97477 800-813-2000

F Y None N

Tamara A Stenshoel, MD

Pacific Womens Center, LLC 10 Coburg Rd Ste

100, Eugene, OR. 97401 800-813-2000

F Y None N

Amy Stenson, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Susan J Taylor, MDSantiam Womens Clinic 1373

N 10th Ave, Stayton, OR. 97383 800-813-2000

F Y AB ObGyn None Y

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Page 183 19415_9-19

Suzanne T Temple, MD

PeaceHealth Medical Group Oregon - Univ Dist Gyne-cology 1200 Hilyard St Ste

510, Eugene, OR. 97401 800-813-2000

F Y None N

Demetria F Tennefoss, NP

PeaceHealth Medical Group Oregon - Univ Dist Gyne-cology 1200 Hilyard St Ste

510, Eugene, OR. 97401 800-813-2000

F Y None Y

Jorge Tolosa, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Susan H Tran, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Susan H Tran, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Jennifer M Tufariello, MD

Womens Care, PC - Country Club 590 Country Club Pkwy

Ste B, Eugene, OR. 97401 800-813-2000

F Y None N

Amy M Valent, DO

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Amy M Valent, DO

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Robert H Warnock, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

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Page 184 19415_9-19

Clarissa J Weiss, MD

PeaceHealth Medical Group - Lower Columbia - Wom-ens Health Pavillion 1660

Delaware St, Longview, WA. 98632 800-813-2000

F Y None Y

Gina L Westhoff, MD

LSC - Legacy Salmon Creek Gynecology Oncology 2121 NE 139th St Ste 120, Vancou-ver, WA. 98686 800-813-2000

F Y None Y

Gina L Westhoff, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Alexandria A Westlake, CNM

PeaceHealth Medical Group Oregon - Nurse Midwifery

Birthing Ctr 353 Deadmond Ferry Rd, Springfield, OR.

97477 800-813-2000

F Y None N

Douglas Whelan, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Spanish Y

Stephanie K Wilder, MD

Womens Care, PC 3100 Martin Luther King Jr Pkwy,

Springfield, OR. 97477 800-813-2000

F Y AB ObGyn None Y

Sohee G Williams, MD

Pacific Womens Center, LLC 10 Coburg Rd Ste

100, Eugene, OR. 97401 800-813-2000

F Y None N

Solange M Wyatt, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

F Y None Y

Solange M Wyatt, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 185 19415_9-19

Solange M Wyatt, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Catherine A York, MD

Womens Care, PC 3100 Martin Luther King Jr Pkwy,

Springfield, OR. 97477 800-813-2000

F Y None N

Heather L York, MD

Womens Care, PC - Country Club 590 Country Club Pkwy

Ste B, Eugene, OR. 97401 800-813-2000

F Y None N

Obstetrics & Gynecology/Crtitical Care Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Jennifer R Freeman, MD

Womens Care, PC 3100 Martin Luther King Jr Pkwy,

Springfield, OR. 97477 800-813-2000

F Y None Y

Occupational Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Erin R Kelly, MOT

Neurotherapeutic Pediatric Therapies, Inc - Hillsboro

5289 NE Elam Young Pkwy Ste 140, Hillsboro, OR. 97124

800-813-2000

F Y None Y

Erin R Kelly, MOT

Neurotherapeutic Pediatric Therapies, Inc - Wilsonville

27501 SW 95th Ave Ste 960, Wilsonville, OR. 97070

800-813-2000

F Y None Y

Erin R Kelly, MOT

Neurotherapeutic Pediatric Therapies, Inc 610 High St,

Oregon City, OR. 97045 800-813-2000

F Y None Y

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Page 186 19415_9-19

Luci M Kovacevic, MD

ICCO, LLC - Eugene Urgent Care Coburg 1800 Coburg

Rd, Eugene, OR. 97401 800-813-2000

M YAmerican Board of

Preventive Medicine (Occupational)

None N

Luci M Kovacevic, MD

ICCO, LLC - Eugene Urgent Care Patterson 598 E 13th Ave, Eugene, OR. 97401

800-813-2000

M YAmerican Board of

Preventive Medicine (Occupational)

None N

Luci M Kovacevic, MD

ICCO, LLC - Eugene Urgent Care Willamette 2710 Willa-mette St, Eugene, OR. 97405

800-813-2000

M YAmerican Board of

Preventive Medicine (Occupational)

None N

Luci M Kovacevic, MD

ICCO, LLC - Five Rivers Family Practice 48134 Hwy 58, Oakridge, OR. 97463

800-813-2000

M YAmerican Board of

Preventive Medicine (Occupational)

None N

Luci M Kovacevic, MD

ICCO, LLC - Junction City Medical Clinic 355 W 3rd

Ave, Junction City, OR. 97448 800-813-2000

M YAmerican Board of

Preventive Medicine (Occupational)

None N

Luci M Kovacevic, MD

ICCO, LLC - Pleasant Hill Urgent Care 35859 Hwy

58, Pleasant Hill, OR. 97455 800-813-2000

M YAmerican Board of

Preventive Medicine (Occupational)

None Y

Luci M Kovacevic, MD

ICCO, LLC - Prime Med Medi-cal Clinic and Cottage Grove Urgent Care 1445 Gateway Blvd, Cottage Grove, OR.

97424 800-813-2000

M YAmerican Board of

Preventive Medicine (Occupational)

None N

Luci M Kovacevic, MD

ICCO, LLC - Roseburg Ur-gent Care 1740 NW Goetz St, Roseburg, OR. 97471

800-813-2000

M YAmerican Board of

Preventive Medicine (Occupational)

None Y

Luci M Kovacevic, MD

ICCO, LLC - Thurston Ur-gent Care 5781 Main St, Springfield, OR. 97478

800-813-2000

M YAmerican Board of

Preventive Medicine (Occupational)

None N

Luci M Kovacevic, MDICCO, LLC - Veneta 87983

Territorial Hwy, Veneta, OR. 97487 800-813-2000

M YAmerican Board of

Preventive Medicine (Occupational)

None N

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Page 187 19415_9-19

Laura A Pogson, MS, OTR/L

Neurotherapeutic Pediatric Therapies, Inc 610 High St,

Oregon City, OR. 97045 800-813-2000

F Y None Y

Occupational Therapy

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Debora A Amara, OT, MA

Physical Therapy and Hand Clinic of Hillsboro, LLP 620 SE

Oak St Ste A, Hillsboro, OR. 97123 800-813-2000

F Y None Y

Shannon K Bray, MOT

NWRA - Connect The Dots Pediatric Therapy, Inc 84 Cen-

tennial Loop, Eugene, OR. 97401 800-813-2000

F Y None Y

Nicole L Cavender, MOT

Neurotherapeutic Pediatric Therapies, Inc - Hillsboro

5289 NE Elam Young Pkwy Ste 140, Hillsboro, OR. 97124

800-813-2000

F Y None Y

Nicole L Cavender, MOT

Neurotherapeutic Pediatric Therapies, Inc 610 High St,

Oregon City, OR. 97045 800-813-2000

F Y None Y

Cara E Clements, MOT

Neurotherapeutic Pediatric Therapies, Inc - Wilsonville

27501 SW 95th Ave Ste 960, Wilsonville, OR. 97070

800-813-2000

F Y None Y

Cara E Clements, MOT

Neurotherapeutic Pediatric Therapies, Inc 610 High St,

Oregon City, OR. 97045 800-813-2000

F Y None Y

Marlena E Cobb, MOT

NWRA - Connect The Dots Pediatric Therapy, Inc 84 Cen-

tennial Loop, Eugene, OR. 97401 800-813-2000

F Y None Y

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Page 188 19415_9-19

Elana B Cohen, MOT

Neurotherapeutic Pediatric Therapies, Inc - NE Portland

Treatment Center 10130 NE Skidmore, Portland, OR.

97220 800-813-2000

F YNational Board for

Certification in Occu-pational Therapy

None Y

Elana B Cohen, MOT

Neurotherapeutic Pediatric Therapies, Inc 610 High St,

Oregon City, OR. 97045 800-813-2000

F YNational Board for

Certification in Occu-pational Therapy

None Y

Erin N Forgeron, OTD, OTR/L

Advanced Pediatric Thera-pies, Inc - Vancouver Loca-tion 4201 NE 66th Ave Ste

106, Vancouver, WA. 98661 800-813-2000

F Y None Y

Erin N Forgeron, OTD, OTR/L

Advanced Pediatric Thera-pies, Inc 8339 SW Beaver-

ton-Hillsdale Hwy, Portland, OR. 97225 800-813-2000

F Y None Y

Jhonavie C Ganir, MOT

Neurotherapeutic Pediatric Therapies, Inc 610 High St,

Oregon City, OR. 97045 800-813-2000

F Y None Y

Sharon R Gavrilovic, MSOT

Advanced Pediatric Thera-pies, Inc 8339 SW Beaver-

ton-Hillsdale Hwy, Portland, OR. 97225 800-813-2000

F YNational Board for

Certification in Occu-pational Therapy

None Y

Kimberly Goodale, PsyD

Northwest Occupational Medicine Center, Inc 9400

SW Beaverton-Hillsdale Hwy Ste 205, Beaverton, OR.

97005 800-813-2000

F Y None Y

Brett J Hensley, MOT

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M Y None Y

Stacey L Kesner, MOT

Neurotherapeutic Pediatric Therapies, Inc - Wilsonville

27501 SW 95th Ave Ste 960, Wilsonville, OR. 97070

800-813-2000

F Y None Y

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Page 189 19415_9-19

Stacey L Kesner, MOT

Neurotherapeutic Pediatric Therapies, Inc 610 High St,

Oregon City, OR. 97045 800-813-2000

F Y None Y

Michelle M Olson, OTR-LProgress Center, Inc 1600 Third Ave, Longview, WA.

98632 800-813-2000F Y None Y

Colleen Overman, BS

Neurotherapeutic Pediatric Therapies, Inc - NE Portland

Treatment Center 10130 NE Skidmore, Portland, OR.

97220 800-813-2000

F Y None Y

Colleen Overman, BS

Neurotherapeutic Pediatric Therapies, Inc 610 High St,

Oregon City, OR. 97045 800-813-2000

F Y None Y

Darren J Packard, MS, SLP

Progressive Rehabilitation Associates, LLC 1815 SW

Marlow Ave Ste 110, Portland, OR. 97225 800-813-2000

M Y

American Speech-Lan-

guage-Hearing Association

None Y

JoAnnita Reitsma, MOT,OTR\L

Neurotherapeutic Pediatric Therapies, Inc - Hillsboro

5289 NE Elam Young Pkwy Ste 140, Hillsboro, OR. 97124

800-813-2000

F Y None Y

JoAnnita Reitsma, MOT,OTR\L

Neurotherapeutic Pediatric Therapies, Inc - McMinn-ville 2274 SW 2nd St Ste

D, McMinnville, OR. 97128 800-813-2000

F Y None Y

JoAnnita Reitsma, MOT,OTR\L

Neurotherapeutic Pediatric Therapies, Inc - NE Portland

Treatment Center 10130 NE Skidmore, Portland, OR.

97220 800-813-2000

F Y None Y

JoAnnita Reitsma, MOT,OTR\L

Neurotherapeutic Pediatric Therapies, Inc 610 High St,

Oregon City, OR. 97045 800-813-2000

F Y None Y

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Page 190 19415_9-19

Melissa A Stringer, MSOT

Advanced Pediatric Thera-pies, Inc - Vancouver Loca-tion 4201 NE 66th Ave Ste

106, Vancouver, WA. 98661 800-813-2000

F Y None Y

Melissa A Stringer, MSOT

Advanced Pediatric Thera-pies, Inc 8339 SW Beaver-

ton-Hillsdale Hwy, Portland, OR. 97225 800-813-2000

F Y None Y

Julie C Talcott-Fuller, MSOT, OTR/L

Neurotherapeutic Pediatric Therapies, Inc - McMinn-ville 2274 SW 2nd St Ste

D, McMinnville, OR. 97128 800-813-2000

F Y None Y

Julie C Talcott-Fuller, MSOT, OTR/L

Neurotherapeutic Pediatric Therapies, Inc 610 High St,

Oregon City, OR. 97045 800-813-2000

F Y None Y

Michelle R Whitt, OT/L

Neurotherapeutic Pediatric Therapies, Inc - Hillsboro

5289 NE Elam Young Pkwy Ste 140, Hillsboro, OR. 97124

800-813-2000

F Y None Y

Michelle R Whitt, OT/L

Neurotherapeutic Pediatric Therapies, Inc - McMinn-ville 2274 SW 2nd St Ste

D, McMinnville, OR. 97128 800-813-2000

F Y None Y

Michelle R Whitt, OT/L

Neurotherapeutic Pediatric Therapies, Inc 610 High St,

Oregon City, OR. 97045 800-813-2000

F Y None Y

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Page 191 19415_9-19

Oncological Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Kevin G Billingsley, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Cory A Donovan, MD

LSC - Legacy Medical Group Surgical Oncology 2121 NE 139th St Ste 120, Vancouver,

WA. 98686 800-813-2000

M Y None Y

Cory A Donovan, MD

LSC - Legacy Salmon Creek Gynecology Oncology 2121 NE 139th St Ste 120, Vancou-ver, WA. 98686 800-813-2000

M Y None Y

Charles K Enestvedt, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Kristian M Ferry, MDAvante, LLC 1410 Oak St

Ste 101, Eugene, OR. 97401 800-813-2000

M Y Surgery AB Surgery None Y

John T Vetto, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Oncology, medical

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Charles K Anderson, MD

Oncology Associates of Oregon, PC DBA Willamette

Valley Cancer Institute - Corvallis 3680 NW Samari-tan Dr, Corvallis, OR. 97330

800-813-2000

M Y None Y

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Page 192 19415_9-19

Charles K Anderson, MD

Oncology Associates of Oregon, PC DBA Willamette

Valley Cancer Institute - Springfield 3377 RiverBend Dr Ste 500, Springfield, OR.

97477 800-813-2000

M YAB Int Med (Medical

Oncology)None Y

Eric C Anderson, MD, PhD

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

M Y None Y

Eric C Anderson, MD, PhD

OHSU - Northwest Port-land Hematology Oncolo-gy 1130 NW 22nd Ave Ste 150, Portland, OR. 97210

800-813-2000

M Y None Y

Eric C Anderson, MD, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Aberash W Assefa, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Amharic Y

Katharine Barford, MD

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

F Y None German Y

Katharine Barford, MD

OHSU - Northwest Port-land Hematology Oncolo-gy 1130 NW 22nd Ave Ste 150, Portland, OR. 97210

800-813-2000

F Y None German Y

Katharine Barford, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None German Y

Tomasz M Beer, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None

Russian; Polish;

German; French

Y

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Page 193 19415_9-19

Raymond C Bergan, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None

Can-tonese

(Chinese dialect)

Y

Linn L Bergander, PA

Oncology Associates of Oregon, PC DBA Willamette

Valley Cancer Institute - Corvallis 3680 NW Samari-tan Dr, Corvallis, OR. 97330

800-813-2000

F Y None Y

Linn L Bergander, PA

Oncology Associates of Oregon, PC DBA Willamette

Valley Cancer Institute - Springfield 3377 RiverBend Dr Ste 500, Springfield, OR.

97477 800-813-2000

F Y None Y

Glenn S Buchanan, MD

Oncology Associates of Oregon, PC DBA Willamette Valley Cancer Institute - Flor-

ence 340 9th St, Florence, OR. 97439 800-813-2000

M YAB Int Med (Medical

Oncology)None Spanish Y

Glenn S Buchanan, MD

Oncology Associates of Oregon, PC DBA Willamette Valley Cancer Institute 520 Country Club Rd, Eugene, OR. 97401 800-813-2000

M YAB Int Med (Medical

Oncology)None Spanish Y

Jeremy P Cetnar, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Stephen G Chandler, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

Benjamin L Cho, MD

Oncology Associates of Oregon, PC DBA Willamette Valley Cancer Institute - Flor-

ence 340 9th St, Florence, OR. 97439 800-813-2000

M Y None Y

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Page 194 19415_9-19

Benjamin L Cho, MD

Oncology Associates of Oregon, PC DBA Willamette Valley Cancer Institute 520 Country Club Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Rachel J Cook, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Tiffany J Culbertson, ANP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Lara E Davis, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Miho T Dougherty, MD

Oncology Associates of Oregon, PC DBA Willamette Valley Cancer Institute 520 Country Club Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Brian Druker, MD

OHSU - Professional Medical Services, LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Brian Druker, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Frederick S Ey, MD

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

M Y None Y

Frederick S Ey, MD

OHSU - Northwest Port-land Hematology Oncolo-gy 1130 NW 22nd Ave Ste 150, Portland, OR. 97210

800-813-2000

M Y None Y

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Page 195 19415_9-19

Frederick S Ey, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Joseph A Fiorillo, MD

Oncology Associates of Oregon, PC DBA Willamette Valley Cancer Institute - Flor-

ence 340 9th St, Florence, OR. 97439 800-813-2000

M Y None Y

Joseph A Fiorillo, MD

Oncology Associates of Oregon, PC DBA Willamette Valley Cancer Institute 520 Country Club Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

John T Fitzharris, MD

Oncology Associates of Oregon, PC DBA Willamette Valley Cancer Institute - Flor-

ence 340 9th St, Florence, OR. 97439 800-813-2000

M Y None Y

John T Fitzharris, MD

Oncology Associates of Oregon, PC DBA Willamette

Valley Cancer Institute - Springfield 3377 RiverBend Dr Ste 500, Springfield, OR.

97477 800-813-2000

M Y None Y

William H Fleming, MD

OHSU - Professional Medical Services, LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239 800-813-2000

M Y None Y

William H Fleming, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Xinyu S Fu, MD

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

M Y None Y

Xinyu S Fu, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 196 19415_9-19

Audrey P Garrett, MD

Oncology Associates of Oregon, PC DBA Willamette

Valley Cancer Institute - Corvallis 3680 NW Samari-tan Dr, Corvallis, OR. 97330

800-813-2000

F YAB ObGyn, AB ObGyn

(Gyn Oncology)None Spanish Y

Audrey P Garrett, MD

Oncology Associates of Oregon, PC DBA Willamette

Valley Cancer Institute - Springfield 3377 RiverBend Dr Ste 500, Springfield, OR.

97477 800-813-2000

F YAB ObGyn, AB ObGyn

(Gyn Oncology)None Spanish Y

Julie N Graff, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Vinay Gupta, MD

Oncology Associates of Oregon, PC DBA Willamette

Valley Cancer Institute - Corvallis Elks Dr 444 NW

Elks Dr, Corvallis, OR. 97330 800-813-2000

M Y None Y

Xing-Yue He, MD

LSC- Legacy Cancer Institute 87th Ave 700 NE 87th Ave Ste 360, Vancouver, WA. 98664

800-813-2000

M Y None Y

Carolyn M Johns, ANP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Allean C Johnson, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Catherine A Kefer, ANP

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

F Y None Y

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Page 197 19415_9-19

Catherine A Kefer, ANP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Bonnie K Kittleson, FNP

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

F Y None Y

Bonnie K Kittleson, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Rogelyn P Kwock, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Haidy L Lee, MD

Oncology Associates of Oregon, PC DBA Willamette Valley Cancer Institute 520 Country Club Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Jae H Lee, MD

Oncology Associates of Oregon, PC DBA Willamette Valley Cancer Institute - Flor-

ence 340 9th St, Florence, OR. 97439 800-813-2000

M YAB Int Med (Medical

Oncology)None Korean Y

Jae H Lee, MD

Oncology Associates of Oregon, PC DBA Willamette Valley Cancer Institute 520 Country Club Rd, Eugene, OR. 97401 800-813-2000

M YAB Int Med (Medical

Oncology)None Korean Y

Michaelann L Liss, DO

LSC- Legacy Cancer Institute 87th Ave 700 NE 87th Ave Ste 360, Vancouver, WA. 98664

800-813-2000

F Y None Y

Sarah A Lowry, ACNP

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

F Y None Y

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Page 198 19415_9-19

Sarah A Lowry, ACNP

OHSU - Northwest Port-land Hematology Oncolo-gy 1130 NW 22nd Ave Ste 150, Portland, OR. 97210

800-813-2000

F Y None Y

Sarah A Lowry, ACNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Shiuh-Wen Luoh, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YInternal

MedicineNone

Mandarin (Chinese dialect)

Y

Jun Ma, NP

LSC - Legacy Salmon Creek Gynecology Oncology 2121 NE 139th St Ste 120, Vancou-ver, WA. 98686 800-813-2000

F Y None Y

Jun Ma, NP

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Jeffrey D Myers, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Priyanka S O’Brien, MD

PeaceHealth Medical Group - Lower Columbia - Wom-ens Health Pavillion 1660

Delaware St, Longview, WA. 98632 800-813-2000

F Y None Y

Sara D Pascoe, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Swedish Y

Dawn L Rodgers, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 199 19415_9-19

Christopher W Ryan, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Jeff P Sharman, MD

Oncology Associates of Oregon, PC DBA Willamette Valley Cancer Institute - Flor-

ence 340 9th St, Florence, OR. 97439 800-813-2000

M Y None Spanish Y

Jeff P Sharman, MD

Oncology Associates of Oregon, PC DBA Willamette

Valley Cancer Institute - Springfield 3377 RiverBend Dr Ste 500, Springfield, OR.

97477 800-813-2000

M Y None Spanish Y

Mary D Smith, CNS

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Natallia Suvorava, MD

LSC- Legacy Cancer Institute 87th Ave 700 NE 87th Ave Ste 360, Vancouver, WA. 98664

800-813-2000

F YAB Internal Medicine, AB Int Med (Medical

Oncology)None Y

Jason A Taylor, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Matthew H Taylor, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Nagendra R Tirumali, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Nagendra R Tirumali, MD

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

M Y None Y

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Page 200 19415_9-19

Khaled A Tolba, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Arabic Y

Elie A Traer, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Phoebe R Trubowitz, MD

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

F Y None Y

Phoebe R Trubowitz, MD

OHSU - Northwest Port-land Hematology Oncolo-gy 1130 NW 22nd Ave Ste 150, Portland, OR. 97210

800-813-2000

F Y None Y

Phoebe R Trubowitz, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Jacqueline L Trussell, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Crystal N Turner, PA

OHSU - East Portland Hema-tology Oncology 10000 SE Main Ste 350, Portland, OR.

97216 800-813-2000

F Y None Y

Crystal N Turner, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Marc I Uemura, MD

Oncology Associates of Oregon, PC DBA Willamette Valley Cancer Institute 520 Country Club Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

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Page 201 19415_9-19

Irene P Vetto, ANP

OHSU - Northwest Port-land Hematology Oncolo-gy 1130 NW 22nd Ave Ste 150, Portland, OR. 97210

800-813-2000

F Y None Y

Irene P Vetto, ANP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Keith Wells, MD

Oncology Associates of Oregon, PC DBA Willamette

Valley Cancer Institute - Corvallis Elks Dr 444 NW

Elks Dr, Corvallis, OR. 97330 800-813-2000

M Y None Y

Merideth M Wendland, MD

Oncology Associates of Oregon, PC DBA Willamette Valley Cancer Institute 520 Country Club Rd, Eugene, OR. 97401 800-813-2000

F Y None Y

Kathleen Y Yang, MD

Oncology Associates of Oregon, PC DBA Willamette

Valley Cancer Institute - Corvallis 3680 NW Samari-tan Dr, Corvallis, OR. 97330

800-813-2000

F Y None

Can-tonese

(Chinese dialect)

Y

Kathleen Y Yang, MD

Oncology Associates of Oregon, PC DBA Willamette

Valley Cancer Institute - Springfield 3377 RiverBend Dr Ste 500, Springfield, OR.

97477 800-813-2000

F Y None

Can-tonese

(Chinese dialect)

Y

Christopher A Yasenchak, MD

Oncology Associates of Oregon, PC DBA Willamette Valley Cancer Institute - Flor-

ence 340 9th St, Florence, OR. 97439 800-813-2000

M YAB Int Med (Medical

Oncology)None Y

Christopher A Yasenchak, MD

Oncology Associates of Oregon, PC DBA Willamette

Valley Cancer Institute - Springfield 3377 RiverBend Dr Ste 500, Springfield, OR.

97477 800-813-2000

M YAB Int Med (Medical

Oncology)None Y

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Page 202 19415_9-19

Ophthalmology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Daniel M Albert, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Ronald D Allen, DO

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

M Y NoneViet-

namese; Spanish

Y

Ronald D Allen, DO

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

M Y NoneViet-

namese; Spanish

Y

Ronald D Allen, DO

Portland Clinic The, LLP - Portland South Office 6640

SW Redwood Lane, Portland, OR. 97224 800-813-2000

M Y NoneViet-

namese; Spanish

Y

Keyhan F Aryah, MD

Oregon Eye Consultants, LLC - Florence 2002 Hwy

101 N, Florence, OR. 97439 800-813-2000

M Y AB Ophthalmology None Farsi Y

Keyhan F Aryah, MD

Oregon Eye Consultants, LLC - RiverBend 3783 Internation-al Ct Ste 290, Springfield, OR.

97477 800-813-2000

M Y AB Ophthalmology None Farsi Y

Keyhan F Aryah, MD

Oregon Eye Consultants, LLC - Springfield 5892 Main St

Ste 3, Springfield, OR. 97478 800-813-2000

M Y AB Ophthalmology None Farsi Y

Keyhan F Aryah, MDOregon Eye Consultants, LLC

1550 Oak St Ste 7, Eugene, OR. 97401 800-813-2000

M Y AB Ophthalmology None Farsi Y

Justin T Baynham, MDRetina Consultants, LLC 2450 12th St SE, Salem, OR. 97302

800-813-2000M Y None Y

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Page 203 19415_9-19

Gary R Berger, MD

McMinnville Eye Clinic, PC 235 SE Norton Lane Ste

A, McMinnville, OR. 97128 800-813-2000

M Y AB Ophthalmology None Y

Kavita V Bhavsar, MD

OHSU - Casey Eye Insti-tute 3375 SW Terwilliger

Blvd, Portland, OR. 97239 800-813-2000

F Y None Y

Mitchell V Brinks, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

John P Campbell, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Winston D Chamberlain, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Michael F Chiang, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y NoneMandarin (Chinese dialect)

Y

John L Clements, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y NonePortu-guese

Y

William E Cox, MD

PeaceHealth Medical Group Oregon - Univ Dist Oph-

thalmology 1200 Hilyard St Ste 110, Eugene, OR. 97401

800-813-2000

M Y None Y

Roger A Dailey, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Ellen J Davis, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 204 19415_9-19

Lorna E Edmunds, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Albert O Edwards, MDOregon Retina, LLP - Darlene Ln 1125 Darlene Ln, Eugene,

OR. 97401 800-813-2000M Y None Y

Albert O Edwards, MDOregon Retina, LLP - Florence

535 9th St, Florence, OR. 97439 800-813-2000

M Y None Y

Albert O Edwards, MDOregon Retina, LLP 1550 Oak St Ste 4, Eugene, OR. 97401

800-813-2000M Y None Y

Julie Falardeau, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None French Y

Samuel G Farmer, MDRetina Consultants, LLC 2450 12th St SE, Salem, OR. 97302

800-813-2000M Y None Spanish Y

Blake V Fausett, MD

John H Hunts, MD, PhD, LLC DBA Aesthetic Surgical

Arts 2550 Willakenzie Rd Ste 1, Eugene, OR. 97401

800-813-2000

M Y None Y

Irwin H Fine, MD

Drs Fine, Hoffman & Sims, LLC - Florence 2002 Hwy

101 N, Florence, OR. 97439 800-813-2000

M Y None Y

Irwin H Fine, MD

Drs Fine, Hoffman & Sims, LLC 1550 Oak St

Ste 5, Eugene, OR. 97401 800-813-2000

M Y None Y

Christina J Flaxel, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 205 19415_9-19

Rachael Garrett, OD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Rachael Garrett, OD

OHSU - Dept Of Ophthalmol-ogy 3181 SW Sam Jackson

Park Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Nicholas P Grinich, MD

McMinnville Eye Clinic, PC 235 SE Norton Lane Ste

A, McMinnville, OR. 97128 800-813-2000

M Y AB Ophthalmology None Y

John H Haines, MDEye Center The, LLC 1550 Oak St Ste 3, Eugene, OR.

97401 800-813-2000M Y AB Ophthalmology None Y

David J Hayes, MD

McMinnville Eye Clinic, PC 235 SE Norton Lane Ste

A, McMinnville, OR. 97128 800-813-2000

M Y AB Ophthalmology None Y

Jeffrey M Healey, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Richard S Hoffman, MD

Drs Fine, Hoffman & Sims, LLC 1550 Oak St

Ste 5, Eugene, OR. 97401 800-813-2000

M Y None Y

David Huang, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Allan Hunter, MD

Oregon Eye Consultants, LLC - RiverBend 3783 Internation-al Ct Ste 290, Springfield, OR.

97477 800-813-2000

M Y None Y

Allan Hunter, MDOregon Eye Consultants, LLC

1550 Oak St Ste 7, Eugene, OR. 97401 800-813-2000

M Y None Y

Thomas Hwang, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y NoneSpanish; Korean

Y

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Page 206 19415_9-19

Eliesa A Ing, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Kent A Karren, MD

Eye Center The, LLC - Florence 2002 Hwy 101 N, Florence, OR. 97439

800-813-2000

M Y AB Ophthalmology None Y

Kent A Karren, MDEye Center The, LLC 1550 Oak St Ste 3, Eugene, OR.

97401 800-813-2000M Y AB Ophthalmology None Y

John W Karth, MD

Oregon Eye Consultants, LLC - Florence 2002 Hwy

101 N, Florence, OR. 97439 800-813-2000

M Y None Y

John W Karth, MD

Oregon Eye Consultants, LLC - RiverBend 3783 Internation-al Ct Ste 290, Springfield, OR.

97477 800-813-2000

M Y None Y

John W Karth, MDOregon Eye Consultants, LLC

1550 Oak St Ste 7, Eugene, OR. 97401 800-813-2000

M Y None Y

Peter A Karth, MD

Oregon Eye Consultants, LLC - Florence 2002 Hwy

101 N, Florence, OR. 97439 800-813-2000

M Y None Y

Peter A Karth, MD

Oregon Eye Consultants, LLC - RiverBend 3783 Internation-al Ct Ste 290, Springfield, OR.

97477 800-813-2000

M Y None Y

Peter A Karth, MDOregon Eye Consultants, LLC

1550 Oak St Ste 7, Eugene, OR. 97401 800-813-2000

M Y None Y

Donna H Kim, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 207 19415_9-19

Walter B Kunz, MD

Oregon Eye Consultants, LLC - Florence 2002 Hwy

101 N, Florence, OR. 97439 800-813-2000

M Y AB Ophthalmology NoneSpanish;

PolishY

Walter B Kunz, MD

Oregon Eye Consultants, LLC - RiverBend 3783 Internation-al Ct Ste 290, Springfield, OR.

97477 800-813-2000

M Y AB Ophthalmology NoneSpanish;

PolishY

Walter B Kunz, MDOregon Eye Consultants, LLC

1550 Oak St Ste 7, Eugene, OR. 97401 800-813-2000

M Y AB Ophthalmology NoneSpanish;

PolishY

Janet M Lim, MD

Drs Fine, Hoffman & Sims, LLC 1550 Oak St

Ste 5, Eugene, OR. 97401 800-813-2000

F Y AB Ophthalmology None Y

Phoebe Lin, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Lorinna H Lombardi, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Tomas Lopez, MDEyecare Associates - Corvallis 330 NW Elks Dr Ste A, Corval-lis, OR. 97330 800-813-2000

M Y None Y

Tomas Lopez, MDEyecare Associates - Lebanon 100 Mullins Dr Ste B3, Leba-

non, OR. 97355 800-813-2000M Y None Y

Bruce W Madsen, MDEyecare Associates, PC 2715 Willetta St SW Ste B, Albany,

OR. 97321 800-813-2000M Y AB Ophthalmology None Y

Monika A Malecha, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F Y None Polish Y

Monika A Malecha, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

F Y None Polish Y

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Page 208 19415_9-19

Monika A Malecha, MD

Portland Clinic The, LLP - Portland South Office 6640

SW Redwood Lane, Portland, OR. 97224 800-813-2000

F Y None Polish Y

Mehrdad Malihi, MDOregon Retina, LLP 1550 Oak St Ste 4, Eugene, OR. 97401

800-813-2000M Y AB Ophthalmology None Y

Steven D Maxfield, MD

McMinnville Eye Clinic, PC 235 SE Norton Lane Ste

A, McMinnville, OR. 97128 800-813-2000

M Y None Spanish Y

Monica M Michelotti, MDRetina Consultants, LLC 2450 12th St SE, Salem, OR. 97302

800-813-2000F Y None Y

John C Morrison, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Kevin M Mundy, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Afshan A Nanji, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

John D Ng, MD

OHSU - Casey Eye Insti-tute 3375 SW Terwilliger

Blvd, Portland, OR. 97239 800-813-2000

M Y None Y

Andrew J Ollerton, MD

OHSU - Casey Eye Insti-tute 3375 SW Terwilliger

Blvd, Portland, OR. 97239 800-813-2000

M Y None Y

Andrew J Ollerton, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 209 19415_9-19

Michael S Passo, MD

McMinnville Eye Clinic, PC 235 SE Norton Lane Ste

A, McMinnville, OR. 97128 800-813-2000

M Y None Y

Mark E Pennesi, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Joseph E Robertson, MD

OHSU - Dept Of Ophthalmol-ogy 3181 SW Sam Jackson

Park Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Joseph E Robertson, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Judith Sabah, MD

PeaceHealth Medical Group Oregon - Univ Dist Oph-

thalmology 1200 Hilyard St Ste 110, Eugene, OR. 97401

800-813-2000

F Y None French Y

Annette C Sims, MD

Drs Fine, Hoffman & Sims, LLC 1550 Oak St

Ste 5, Eugene, OR. 97401 800-813-2000

F Y NoneMandarin (Chinese dialect)

Y

Eric A Steele, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Michael D Straiko, MD

Terry, Mark A, MD, PC 1040 NW 22nd Ave Ste

200, Portland, OR. 97210 800-813-2000

M Y None Y

Eric B Suhler, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Hana L Takusagawa, MD

Eye Center The, LLC - Florence 2002 Hwy 101 N, Florence, OR. 97439

800-813-2000

F Y AB Ophthalmology None Y

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Page 210 19415_9-19

Hana L Takusagawa, MDEye Center The, LLC 1550 Oak St Ste 3, Eugene, OR.

97401 800-813-2000F Y AB Ophthalmology None Y

Shandiz Tehrani, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Daniel C Tu, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Andrew C Westfall, MDRetina Consultants, LLC 2450 12th St SE, Salem, OR. 97302

800-813-2000M Y None Y

Paul Yang, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Taiwanese Y

Julie Yu, MD

Child Eye Care Associates, LLC 9735 SW Shady Ln Ste

203, Tigard, OR. 97223 800-813-2000

F Y None Y

Optometry

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Lee Azpiroz, OD

PeaceHealth Medical Group Oregon - Univ Dist Oph-

thalmology 1200 Hilyard St Ste 110, Eugene, OR. 97401

800-813-2000

M Y None N

John M Boyer, OD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

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Page 211 19415_9-19

Rebecca Chung, OD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Ryan A Gorger, OD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

M Y None N

Ryan A Gorger, OD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

M Y None N

Ryan A Gorger, OD

Portland Clinic The, LLP - Portland South Office 6640

SW Redwood Lane, Portland, OR. 97224 800-813-2000

M Y None N

Elaine M Hussey, ODEyecare Associates, PC 2715 Willetta St SW Ste B, Albany,

OR. 97321 800-813-2000F Y None Y

Jona A Johnson, OD

Eye Health Northwest, PC - North Portland 3246 N Lom-

bard, Portland, OR. 97217 800-813-2000

F Y None Y

Jenna D Koskey, OD

PeaceHealth Medical Group Oregon - Univ Dist Oph-

thalmology 1200 Hilyard St Ste 110, Eugene, OR. 97401

800-813-2000

F Y Allergy None N

Tammie Krisciunas, OD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Alan W Labrum, OD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Michael S Lackman, OD

Eye Center The, LLC - Florence 2002 Hwy 101 N, Florence, OR. 97439

800-813-2000

M Y None N

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Page 212 19415_9-19

Michael S Lackman, ODEye Center The, LLC 1550 Oak St Ste 3, Eugene, OR.

97401 800-813-2000M Y None N

Kristi Liu, OD

Eye Health Northwest, PC - Barnes Road 9555 SW Barnes

Rd Ste 201, Portland, OR. 97225 800-813-2000

F Y None Y

Derek J Louie, OD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Derek J Louie, OD

OHSU - Dept Of Ophthalmol-ogy 3181 SW Sam Jackson

Park Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Joycelyn Niimi, OD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Allison Summers, OD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

June Tse, OD

Eye Health Northwest, PC - Hillsboro 6111 NE Cornell

Rd, Hillsboro, OR. 97124 800-813-2000

F Y None Y

David M Wenz, OD

Eye Health Northwest, PC - Sunnyside 12050 SE Stevens

Rd Ste 100, Happy Valley, OR. 97086 800-813-2000

M Y None Y

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Page 213 19415_9-19

Oral & Maxillofacial Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Sean A Benson, DDS

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Pamela J Hughes, DDS

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Alexis L Kleinman, DMD

Permanente Dental Associ-ates, PC 500 NE Multnomah

St Ste 100, Portland, OR. 97232 800-813-2000

F Y None Y

Oral Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Thomas W Albert, MD, DMD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YOtolaryn-

gologyNone Y

Kelly A Dezura, DMD

Permanente Dental Associ-ates, PC 500 NE Multnomah

St Ste 100, Portland, OR. 97232 800-813-2000

F YAmerican Board of

Oral and Maxillofacial Surgery

None Y

Mark E Engelstad, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Daniel Petrisor, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Romanian Y

James E Rapson, DDS

Permanente Dental Associ-ates, PC 500 NE Multnomah

St Ste 100, Portland, OR. 97232 800-813-2000

M Y None Y

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Page 214 19415_9-19

Yvonne W Yang, DDS

Permanente Dental Associ-ates, PC 500 NE Multnomah

St Ste 100, Portland, OR. 97232 800-813-2000

F Y None Y

Orthopedic Physician Assistant

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Kevin Bell, PA-C

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M Y None Y

Jaimie N Caiazzo, PA-C

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

F Y None Korean Y

Clayton J Carnahan, PA

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97225 800-813-2000

M Y None Y

Clayton J Carnahan, PA

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

M Y None Y

Lisa Cowan, PA-C

Pacific Spine Specialists, LLC 19260 SW 65th Ave Ste

270, Tualatin, OR. 97062 800-813-2000

F Y None Y

Lawrence Dimacali, PA

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M Y None Y

Anthony Eames, PA

Orthopedic Specialists, PC 5050 NE Hoyt Ste

340, Portland, OR. 97213 800-813-2000

F Y None Y

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Page 215 19415_9-19

Gary T Fielden, PA

Orthopedic Specialists, PC 5050 NE Hoyt Ste

340, Portland, OR. 97213 800-813-2000

M Y None Y

Tannia L Fleming, PA

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Korean Y

Tannia L Fleming, PA

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

F Y None Korean Y

Jordan B Horrocks, PA-C

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

M Y None Y

Amy C Josephson, PA-C

Northwest Acute Care Spe-cialists, PC 825 NE Mult-

nomah Ste 240, Portland, OR. 97232 800-813-2000

F Y None Y

Nicole L Kehrer, PA-C

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

F YNational Commission

on Certification of Phys Assistants, Inc

None Y

Michelle E Lewis, PA-C

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

F Y None Y

Christine L Matthews, PA-C

Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste 210, Longview, WA. 98632

800-813-2000

F YNational Commission

on Certification of Phys Assistants, Inc

None Y

Keleigh Nersasian, PAKao, David M, MD 6370 SW

Borland Rd Ste 200, Tualatin, OR. 97062 800-813-2000

F Y None Spanish Y

Hayley C Piepmeyer, PA

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

F Y None Y

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Page 216 19415_9-19

Hayley C Piepmeyer, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Samantha M Quilici, PA

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Danielle C Sinai, PA-C

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

F Y None Y

Ronald C Smith, PA-C

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

M Y None Y

Amy E Sothern, PA

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

F Y None Y

Amy E Sothern, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Darin Steblaj, PA-C

Pacific Spine Specialists, LLC 19260 SW 65th Ave Ste

270, Tualatin, OR. 97062 800-813-2000

M Y None Y

Ashley E Wood, PA

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

F Y None Y

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Page 217 19415_9-19

Orthopedic Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Brett Andres, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

M Y None Y

Jennifer L Babich, PA-CSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

F Y None Y

McPherson S Beall, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97225 800-813-2000

M Y None Y

McPherson S Beall, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

M Y None Y

Kara M Beasley, PASlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

F Y None Y

Kara Berent, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Erin Bjorklund, NP, RNFA

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

F Y None Y

Bruce G Blackstone, MD

Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste 210, Longview, WA. 98632

800-813-2000

M Y

AB Orthopaedic Surgery (Sports Medi-cine), AB Orthopaedic

Surgery

None Y

Jacqueline L Brady, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 218 19415_9-19

Jacqueline L Brady, MD

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

F Y None Y

J Brad V Butler, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97225 800-813-2000

M Y None Y

J Brad V Butler, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

M Y None Y

Kenneth P Butters, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Gavin J Button, MD

Orthopedic Specialists, PC 5050 NE Hoyt Ste

340, Portland, OR. 97213 800-813-2000

M Y None Y

Heather A Campion, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

F Y None Y

Brenda A Chandler, PA-C

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

F YNational Commission

on Certification of Phys Assistants, Inc

None Y

John J Coen, MD

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M YAB Orthopaedic

SurgeryNone Y

Dennis K Collis, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Alexander M DeHaan, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

M Y None Y

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Page 219 19415_9-19

Alexander E Denes, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

M Y None Y

Mark M Dolan, MD

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M Y None Y

Yee-Cheen Doung, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Paul J Duwelius, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

M Y None Y

Robert S Fan, MD

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M YAB Orthopaedic

SurgeryNone Y

Daniel C Fitzpatrick, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Mark E Foglesong, MD

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M Y None Spanish Y

Jenna M Godfrey, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Matthew F Halsey, MD

OHSU - Doernbecher Special-ty Pediatrics Westside 15220

NW Laidlaw Ste 102, Portland, OR. 97229 800-813-2000

M Y None Spanish Y

Matthew F Halsey, MD

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

M Y None Spanish Y

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Page 220 19415_9-19

Matthew F Halsey, MD

OHSU - Professional Medical Services, LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Matthew F Halsey, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Rudolf G Hoellrich, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Sara M Huffman, PASlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

F Y None Y

Michael D Hwang, MD

Portland Clinic The, LLP - Ti-gard Medical Office 9250 SW Hall Blvd, Tigard, OR. 97223

800-813-2000

M YAB Surgery (Hand

Surgery), AB Ortho-paedic Surgery

None Y

Lyle T Jackson, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Stanley L James, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Brian A Jewett, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Karrie A Johnson, PASlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

F Y None Y

Donald C Jones, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Spanish Y

Benjamin C Kam, Jr, MD

PeaceHealth Medical Group Siuslaw - 530 9th St 530

9th St, Florence, OR. 97439 800-813-2000

M Y None Y

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Page 221 19415_9-19

Timothy L Keenen, MD

Pacific Spine Specialists, LLC 19260 SW 65th Ave Ste

270, Tualatin, OR. 97062 800-813-2000

M Y None Y

Jeffrey B Knight, MD

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M Y None Y

Lucas S Korcek, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Joseph I Krajbich, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Jon E Kretzler, MD

Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste 210, Longview, WA. 98632

800-813-2000

M YAB Orthopaedic

SurgeryNone Y

Jason B Kurian, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

M Y None Y

Brett A Lantz, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Anthony J Lauder, MD

Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste 210, Longview, WA. 98632

800-813-2000

M Y

AB Orthopaedic Sur-gery (Hand Surgery),

AB Orthopaedic Surgery

None Y

Caitlin A Lee, PA-CSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

F Y None Y

Clifford W Lin, MD

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

M Y None Y

Clifford W Lin, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 222 19415_9-19

Robert D Mangrum, PA

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Robert D Mangrum, PA

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

M Y None Y

Mark W Manoso, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

M Y None Y

Kelly R McCormick, MD

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M Y None Y

Jeffrey N Mercer, MD

Orthopedic Specialists, PC 5050 NE Hoyt Ste

340, Portland, OR. 97213 800-813-2000

M YAmerican Board of

Orthopaedic SurgeryNone Spanish Y

Mark E Mildren, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Craig G Mohler, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Hans S Moller, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

M Y None Y

Stuart M Montgomery, MD

Orthopedic Specialists, PC 5050 NE Hoyt Ste

340, Portland, OR. 97213 800-813-2000

M Y None Y

Vivek Natarajan, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 223 19415_9-19

Omar F Nazir, MD

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

M Y None Y

Omar F Nazir, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Robert Orfaly, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None French Y

Shannon J Palmer, PAC

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

F Y None Y

David N Pressman, MD

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M Y None Y

Jason T Queer, PASlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Derek D Rains, MD

WVC - Willamette Valley Or-thopedics and Sports Medi-cine 2700 SE Stratus Ave Ste 303, McMinnville, OR. 97128

800-813-2000

M Y None Y

Stephen K Riffenburgh, MD

PeaceHealth Medical Group Siuslaw - 530 9th St 530

9th St, Florence, OR. 97439 800-813-2000

M Y NoneSpanish; French

Y

Jacob C Riportella, PA

ICCO, LLC - Eugene Urgent Care Coburg 1800 Coburg

Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Jacob C Riportella, PA

ICCO, LLC - Eugene Urgent Care Patterson 598 E 13th Ave, Eugene, OR. 97401

800-813-2000

M Y None Y

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Page 224 19415_9-19

Jacob C Riportella, PA

ICCO, LLC - Eugene Urgent Care Willamette 2710 Willa-mette St, Eugene, OR. 97405

800-813-2000

M Y None Y

Jacob C Riportella, PA

ICCO, LLC - Junction City Medical Clinic 355 W 3rd

Ave, Junction City, OR. 97448 800-813-2000

M Y None Y

Jacob C Riportella, PA

ICCO, LLC - Pleasant Hill Urgent Care 35859 Hwy

58, Pleasant Hill, OR. 97455 800-813-2000

M Y None Y

Jacob C Riportella, PA

ICCO, LLC - Prime Med Medi-cal Clinic and Cottage Grove Urgent Care 1445 Gateway Blvd, Cottage Grove, OR.

97424 800-813-2000

M Y None Y

Jacob C Riportella, PA

ICCO, LLC - Roseburg Ur-gent Care 1740 NW Goetz St, Roseburg, OR. 97471

800-813-2000

M Y None Y

Jacob C Riportella, PASlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Zachary A Roth, PASlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Kathryn L Schabel, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Kathryn L Schabel, MD

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

F Y None Y

Luke D Seidel, PASlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

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Page 225 19415_9-19

Dan Sewell, MD

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M Y None Y

Steven N Shah, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Matthew S Shapiro, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y

AB Orthopaedic Surgery (Sports Medi-cine), AB Orthopaedic

Surgery

None Y

Daniel V Sheerin, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Jami L Slosser, PA

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

F Y None Y

Rolf C Sohlberg, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

M Y None Y

Christian L Spencer, PAcSantiam Orthopaedic Clinic

1369 N 10th Ave, Stayton, OR. 97383 800-813-2000

M Y None Y

Nicholas L Strasser, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Nicolas J Stratton, MDSantiam Orthopaedic Clinic

1369 N 10th Ave, Stayton, OR. 97383 800-813-2000

M YAB Orthopedic

SurgeryNone Y

Timothy A Straub, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Acacia K Syring, ARNP

Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste 210, Longview, WA. 98632

800-813-2000

F Y None Y

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Page 226 19415_9-19

Sudeep Taksali, MD

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M Y NoneSpanish;

HindiY

Jason D Tavakolian, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Robert E Tennant, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

M Y None Y

Mark K Thomas, MD

WVC - Willamette Valley Or-thopedics and Sports Medi-cine 2700 SE Stratus Ave Ste 303, McMinnville, OR. 97128

800-813-2000

M Y None Y

Richard W Tobin, MD

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M Y None Y

Jeffrey M Tuman, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

William T Turner, MD

Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste 210, Longview, WA. 98632

800-813-2000

M YAB Orthopaedic

SurgeryNone Y

Todd W Ulmer, MDTodd W Ulmer, MD, PC 10101 SE Main St Ste 3008, Portland,

OR. 97216 800-813-2000M Y None Y

Peter K Van Patten, MD

WVC - Willamette Valley Or-thopedics and Sports Medi-cine 2700 SE Stratus Ave Ste 303, McMinnville, OR. 97128

800-813-2000

M Y None Y

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Page 227 19415_9-19

Michael B Vessely, MD

WVC - Willamette Valley Or-thopedics and Sports Medi-cine 2700 SE Stratus Ave Ste 303, McMinnville, OR. 97128

800-813-2000

M Y None Y

Tommy N Vu, PA-C

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M YNational Commission

on Certification of Phys Assistants, Inc

NoneVietnam-

eseY

Mark B Wagner, MD

Orthopedics Northwest, PC 15755 SW Sequoia Pkwy Ste 200, Tigard, OR. 97224

800-813-2000

M YAB Orthopaedic

SurgeryNone Y

Christopher N Walton, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Bruce M Watanabe, MD

PeaceHealth Medical Group Siuslaw - 530 9th St 530

9th St, Florence, OR. 97439 800-813-2000

M Y None Y

David J Weatherby, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Carlos A Williams, MD

Orthopedic Specialists, PC 5050 NE Hoyt Ste

340, Portland, OR. 97213 800-813-2000

M Y None Y

Ronald D Wobig, MD

Ronald Wobig, MD, PC DBA Beaver Sports Medicine 1128 NE 2nd St Ste 201, Corvallis,

OR. 97330 800-813-2000

M Y None Y

Kimberly L Workman, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

F YAB Orthopaedic

SurgeryNone Y

Thomas K Wuest, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

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Page 228 19415_9-19

Eric S Yao, MD

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M Y None Y

Jung U Yoo, MD

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

M Y None Y

Jung U Yoo, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Monica Zilkoski, MD

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

F YAB Orthopaedic

SurgeryNone Y

Robert G Zirschky, MD

Willamette Orthopedic Group, LLC DBA Hope Or-thopedics of Oregon 1600 State St, Salem, OR. 97301

800-813-2000

M Y None Y

Orthopedic Surgery, Sports Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Stephen A Bennett, PA-C

Ronald Wobig, MD, PC DBA Beaver Sports Medicine 1128 NE 2nd St Ste 201, Corvallis,

OR. 97330 800-813-2000

M Y None Y

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Page 229 19415_9-19

Orthopedics

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Robert B Bettencourt, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97225 800-813-2000

M YSports

Medicine

AB Family Medicine (MD), AB Family Pract

(Sports Med)None Y

James S Davitt, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

M Y None Y

Molly G Emberlin, PA-C

ICCO, LLC - Junction City Medical Clinic 355 W 3rd

Ave, Junction City, OR. 97448 800-813-2000

F Y None Y

Molly G Emberlin, PA-C

ICCO, LLC - Pleasant Hill Urgent Care 35859 Hwy

58, Pleasant Hill, OR. 97455 800-813-2000

F Y None Y

Molly G Emberlin, PA-C

ICCO, LLC - Roseburg Ur-gent Care 1740 NW Goetz St, Roseburg, OR. 97471

800-813-2000

F Y None Y

Nathan W Fennewald, PA

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Darin Friess, MD

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

M Y None Y

Darin Friess, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Tobin S Hanson, DO

PeaceHealth Medical Group Siuslaw - 530 9th St 530

9th St, Florence, OR. 97439 800-813-2000

M Y None Y

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Page 230 19415_9-19

James B Hayden, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Andrea S Herzka, MD

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

F Y NoneGerman; French

Y

Andrea S Herzka, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y NoneGerman; French

Y

Jayme R Hiratzka, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Jayme R Hiratzka, MD

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

M Y None Spanish Y

Thomas W Huff, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Thomas W Huff, MD

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

M Y None Y

Michael C Koester, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Peter L Kung, MD

Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste 210, Longview, WA. 98632

800-813-2000

M YAB Orthopaedic

SurgeryNone Y

Lisa L Lamoreaux, MDSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

F YSports

MedicineNone Y

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Page 231 19415_9-19

Tony C Lin, MD

Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste 210, Longview, WA. 98632

800-813-2000

M Y

AB Orthopaedic Surgery (Sports Medi-cine), AB Orthopaedic

Surgery

None

Taiwan-ese;

Mandarin (Chinese dialect)

Y

James E Meeker, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

James E Meeker, MD

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

M Y None Y

Adam J Mirarchi, MD

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

M Y None Y

Adam J Mirarchi, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Paolo Antonio R Punsalan, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Paolo Antonio R Punsalan, MD

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

M Y None Y

Jason S Salden, PACSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Robert H Sandmeier, MD

Portland Clinic The, LLP - Ti-gard Medical Office 9250 SW Hall Blvd, Tigard, OR. 97223

800-813-2000

M YSports

Medicine

AB Orthopaedic Surgery (Sports Medi-cine), AB Orthopaedic

Surgery

None Y

Venessa Stas, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

F Y None Y

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Page 232 19415_9-19

Paul C Thatcher, PACSlocum Orthopedics, PC

55 Coburg Rd, Eugene, OR. 97401 800-813-2000

M Y None Y

Michael G Thomas, MD

PeaceHealth Medical Group Siuslaw - 530 9th St 530

9th St, Florence, OR. 97439 800-813-2000

M Y None Y

Osteopathic Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Marc Musson, DO

Black Stone Health PC 2358 NW Kings Blvd Ste

100, Corvallis, OR. 97330 800-813-2000

M YAB Physical Medicine/

RehabiliationNone Y

Otolaryngology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Peter Andersen, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Kandice S Bowman, PNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Joyce M Brackebusch, MD

Oregon Ear, Nose and Throat, PC 360 S Garden Way Ste 200, Eugene, OR. 97401

800-813-2000

F Y None N

Carrie M Brown, MD

PeaceHealth Medical Group Oregon - Univ Dist ENT 1200 Hilyard St Ste 620, Eugene, OR. 97401 800-813-2000

F Y None N

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Page 233 19415_9-19

Frank R Buchanan, MD

Oregon Ear, Nose and Throat, PC - River Rd Location 890

River Rd, Eugene, OR. 97401 800-813-2000

M Y None N

Frank R Buchanan, MD

Oregon Ear, Nose and Throat, PC 360 S Garden Way Ste 200, Eugene, OR. 97401

800-813-2000

M Y None N

Nathan P Christensen, MD

PeaceHealth Medical Group Oregon - Univ Dist ENT 1200 Hilyard St Ste 620, Eugene, OR. 97401 800-813-2000

M Y AB Otolaryngology None N

Daniel R Clayburgh, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Ted A Cook, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None German Y

Jeffrey R Davis, MD

PeaceHealth Medical Group - Lower Columbia - ENT Clinic 1801 1st Ave Ste

3A, Longview, WA. 98632 800-813-2000

M Y NoneSpanish;

JapaneseY

Monica N Deshpande, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Ertan R Esmer, MD

Portland Clinic The, LLP - Ti-gard Medical Office 9250 SW Hall Blvd, Tigard, OR. 97223

800-813-2000

M Y AB Otolaryngology None Y

Paul W Flint, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Jared C Hiebert, MD

Willamette Ear, Nose, Throat and Facial Plastic Surgery, LLP 3099 River Rd South

Ste 150, Salem, OR. 97302 800-813-2000

M Y None Y

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Page 234 19415_9-19

Timothy E Hullar, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None German Y

Michael M Kim, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Korean Y

James J Knackstedt, MD

Oregon Ear, Nose and Throat, PC - Willagillespie

Rd 995 Willagillespie Rd Ste 300C, Eugene, OR. 97401

800-813-2000

M Y None N

James J Knackstedt, MD

Oregon Ear, Nose and Throat, PC 360 S Garden Way Ste 200, Eugene, OR. 97401

800-813-2000

M Y None N

Derek J Lam, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Ryan J Li, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Sarah L Liebler, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Nancy Liu, MDVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

F Y None Y

Myriam D Loyo Martinez, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Carol J MacArthur, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

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Page 235 19415_9-19

Kenneth H McCarley, MD

PeaceHealth Medical Group Oregon - Univ Dist ENT 1200 Hilyard St Ste 620, Eugene, OR. 97401 800-813-2000

M Y None N

Kate E McCarn, MDVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

F Y None Y

Michael J Mitchell, MD

PeaceHealth Medical Group - Lower Columbia - ENT Clinic 1801 1st Ave Ste

3A, Longview, WA. 98632 800-813-2000

M Y None German Y

Justin B Pavlovich, MD

Portland Clinic The, LLP - Ti-gard Medical Office 9250 SW Hall Blvd, Tigard, OR. 97223

800-813-2000

M Y AB Otolaryngology None French Y

Lourdes Quintanilla-Dieck, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y AB Otolaryngology None Y

Yael Raz, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y NoneHebrew; Spanish

Y

Joshua S Schindler, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Andrew D Sheppert, MDVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

M Y NoneSpanish;

DutchY

Maisie Shindo, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

James D Smith, MD

OHSU - Family Health Center at Scappoose 51377 SW

Old Portland Rd Crossroads Plaza, Scappoose, OR. 97056

800-813-2000

M Y None Y

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Page 236 19415_9-19

James D Smith, MD

OHSU - Richmond Health Center 3930 SE Division St, Portland, OR. 97202

800-813-2000

M Y None Y

James D Smith, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Timothy L Smith, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Tom D Wang, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Tom D Wang, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M Y None Y

Mark K Wax, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Lindsay E Wyant, PA

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Philip B Zald, MD

WVC - Willamette Valley Ear, Nose & Throat 2700 SE

Stratus Ave, McMinnville, OR. 97128 800-813-2000

M Y None Y

Jonathan Zwart, MDVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

M Y None Y

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Page 237 19415_9-19

Otology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Karina A Ramirez, MS, OT

Neurotherapeutic Pediatric Therapies, Inc 610 High St,

Oregon City, OR. 97045 800-813-2000

F Y None Y

Otorhiolaryngology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Joseph H Allan, MD

Willamette Ear, Nose, Throat and Facial Plastic Surgery, LLP 3099 River Rd South

Ste 150, Salem, OR. 97302 800-813-2000

M Y Surgery None Y

Pain Management

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Shea M Deklotz, PA-C

Oregon Interventional Pain Consultants, LLC 1849 NW

Kearney St Ste 201, Portland, OR. 97209 800-813-2000

F YPhysician Assistant

National Commission on Certification of

Phys Assistants, IncNone Y

Vladimir Fiks, MD

Advanced Pain Management Center, PC 10305 SW Park Way Ste 300, Portland, OR.

97225 800-813-2000

M Y None Russian Y

Peter S Kosek, MD

PeaceHealth Medical Group Oregon - Neurosurgery

3355 RiverBend Dr Ste 400, Springfield, OR. 97477

800-813-2000

M YAnesthesi-

ologyNone Spanish Y

Bridget Lahm, PA-C

Advanced Pain Management Center, PC 10305 SW Park Way Ste 300, Portland, OR.

97225 800-813-2000

F Y None Y

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Page 238 19415_9-19

Keegan J McCleary, MD

Pacific Sports and Inter-ventional Spine Physicians, LLC 74B Centennial Loop

Ste 100, Eugene, OR. 97401 800-813-2000

F Y None Y

Dana K Rubin, PAC

Pacific Sports and Inter-ventional Spine Physicians, LLC 74B Centennial Loop

Ste 100, Eugene, OR. 97401 800-813-2000

F Y None Y

Dmitriy Shore, PA-C

Advanced Pain Management Center, PC 10305 SW Park Way Ste 300, Portland, OR.

97225 800-813-2000

M Y None Russian Y

Julie Solomon, ARNP

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Mark A Wells, PAC

Neurology Associates of Eugene-Springfield, PC DBA Oregon Neurology

Associates 1 Hayden Bridge Way, Springfield, OR. 97477

800-813-2000

M Y None Y

Pain Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

John Hamby, MD

Northwest Occupational Medicine Center, Inc 9400

SW Beaverton-Hillsdale Hwy Ste 205, Beaverton, OR.

97005 800-813-2000

M Y None Y

Devon A Parks, PAC

Pacific Sports and Inter-ventional Spine Physicians, LLC 74B Centennial Loop

Ste 100, Eugene, OR. 97401 800-813-2000

F Y None Y

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Page 239 19415_9-19

Thomas Schrattenholzer, MD

LSC - Legacy Clinic Salmon Pain Management Center 2101 NE 139th St Ste 265,

Vancouver, WA. 98686 800-813-2000

M YAnesthesi-

ologyNone Y

Thomas Schrattenholzer, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M YAnesthesi-

ologyNone Y

Pediatric Cardiology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Laurie Armsby, MD

OHSU - Child Development & Rehabilitation Center - Eu-

gene 901 E 18th Ave, Eugene, OR. 97403 800-813-2000

F Y None Y

Laurie Armsby, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Seshadri Balaji, MD

OHSU - Child Development & Rehabilitation Center - Eu-

gene 901 E 18th Ave, Eugene, OR. 97403 800-813-2000

M YAB Pediatrics (Cardiology)

None Tamil Y

Seshadri Balaji, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Pediatrics (Cardiology)

None Tamil Y

Grant H Burch, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Peter H Chang, DO

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Korean Y

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Page 240 19415_9-19

Peter H Chang, DOSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y None Korean Y

Kathryn W Holmes, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Jennifer Huang, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Eric A Johnson, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

M Y Pediatrics None Y

Alissa L Lyman, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Erin J Madriago, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Julie A Martchenke, PNP

OHSU - Child Development & Rehabilitation Center - Eu-

gene 901 E 18th Ave, Eugene, OR. 97403 800-813-2000

F Y NoneSpanish;

Portu-guese

Y

Julie A Martchenke, PNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y NoneSpanish;

Portu-guese

Y

Joylyn K Michaud, NP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Mary S Minette, MD

OHSU - Child Development & Rehabilitation Center - Eu-

gene 901 E 18th Ave, Eugene, OR. 97403 800-813-2000

F Y None Y

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Page 241 19415_9-19

Mary S Minette, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Mark D Reller, MD

OHSU - Child Development & Rehabilitation Center - Eu-

gene 901 E 18th Ave, Eugene, OR. 97403 800-813-2000

M YCardio-vascular Disease

None Y

Mark D Reller, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YCardio-vascular Disease

None Y

Christina Ronai, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Gary M Silberbach, MD

OHSU - Child Development & Rehabilitation Center - Eu-

gene 901 E 18th Ave, Eugene, OR. 97403 800-813-2000

M Y None Y

Gary M Silberbach, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Rachel Sunstrom, PA-C

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Lindsay Urbinelli, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000F Y None Y

Melissa Yamauchi, MD

West Valley - Inpatient Services 525 SE Washing-ton St, Dallas, OR. 97338

800-813-2000

F Y None Y

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Page 242 19415_9-19

Pediatric Critical Care

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Dana A Braner, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YAB Pediatrics (Crit-ical Care Med), AB

PediatricsNone

Viet-namese; Spanish; French

Y

Erin C Burns, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y AB Pediatrics None Y

Miles S Ellenby, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y PediatricsAB Pediatrics (Critical

Care Med)None Y

Laura M Ibsen, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YAB Pediatrics (Crit-ical Care Med), AB

PediatricsNone Y

Serena P Kelly, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Aileen L Kirby, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y PediatricsAB Pediatrics (Crit-ical Care Med), AB

PediatricsNone Y

Robert J Steelman, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y PediatricsAB Pediatrics (Crit-ical Care Med), AB

PediatricsNone Y

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Page 243 19415_9-19

Pediatric Emergency Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Carl O Eriksson, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y NoneSwedish; Spanish; German

Y

Christy A Meade Olivier, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Christy A Meade Olivier, MD

Northwest Acute Care Spe-cialists, PC 825 NE Mult-

nomah Ste 240, Portland, OR. 97232 800-813-2000

F Y None Y

Shinpei Shibata, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Japanese Y

Pediatric Endocrinology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Bruce Boston, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YEndocri-nology

None Y

Kara J Connelly, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Marcie K Drury Brown, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F Y None Y

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Page 244 19415_9-19

Ines Guttmann-Bauman, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Sacha Krieg, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Angela Elaine S Lennon, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F Y Pediatrics None Y

Lisa Madison, MD

OHSU - Child Development & Rehabilitation Center - Eu-

gene 901 E 18th Ave, Eugene, OR. 97403 800-813-2000

F Y None French Y

Lisa Madison, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None French Y

Radhika Purushothaman, MD

LSC - Legacy Salmon Creek Pediatric Rehab 2121 NE

139th St Ste 200, Vancouver, WA. 98686 800-813-2000

F Y None Y

Radhika Purushothaman, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

David B Snyder, MD

LSC - Legacy Salmon Creek Pediatric Multispecialty

Clinic 2121 NE 139th St Ste 200, Vancouver, WA. 98686

800-813-2000

M Y None Spanish Y

David B Snyder, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Spanish Y

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Page 245 19415_9-19

Kathryn A Woods, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Pediatric Gastroenterology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Mikelle D Bassett, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Yasemen Eroglu, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Amy M Garcia, MD

OHSU - Doernbecher Special-ty Pediatrics Westside 15220

NW Laidlaw Ste 102, Portland, OR. 97229 800-813-2000

F Y None Y

Amy M Garcia, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Anna Hunter, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y AB Pediatrics None Y

Linda V Muir, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Janice Tendler, NP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 246 19415_9-19

Pediatric Hematology-Oncology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Billy H Chang, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Kristina M Haley, DO

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Amy O Kenagy, NP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Peter Kurre, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None German Y

Susan J Lindemulder, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Suman Malempati, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y NoneTelugu; Spanish

Y

Kellie Nazemi, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Kathleen Perko, PNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 247 19415_9-19

Michael Recht, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M Y None Y

Michael Recht, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Evan B Shereck, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Michelle I Skinner, PNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Linda C Stork, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y Pediatrics NoneSpanish; French

Y

Gregory Thomas, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M Y None Y

Gregory Thomas, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

David L Tilford, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M Y None Y

David L Tilford, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 248 19415_9-19

Lawrence J Wolff, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M Y None Y

Lawrence J Wolff, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Trisha E Wong, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

F Y None Spanish Y

Trisha E Wong, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Pediatric Infectious Diseases

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Judith A Guzman-Cottrill, DO

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Christina L Lancioni, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Deborah A Lewinsohn, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Paul F Lewis, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 249 19415_9-19

Dawn Nolt, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Pediatric Nephrology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Sandra Iragorri, MD

OHSU - Doernbecher Special-ty Pediatrics Westside 15220

NW Laidlaw Ste 102, Portland, OR. 97229 800-813-2000

F Y NoneSpanish; French

Y

Sandra Iragorri, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y NoneSpanish; French

Y

Randall D Jenkins, MD

OHSU - Doernbecher Special-ty Pediatrics Westside 15220

NW Laidlaw Ste 102, Portland, OR. 97229 800-813-2000

M Y None Y

Randall D Jenkins, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

David Rozansky, MD

OHSU - Doernbecher Special-ty Pediatrics Westside 15220

NW Laidlaw Ste 102, Portland, OR. 97229 800-813-2000

M Y None Y

David Rozansky, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Mary F Wright, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 250 19415_9-19

Pediatric Neurology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Stephen A Back, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Psych&Neuro

(Child Neuro)None Spanish Y

Yoon-Jae Cho, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Psych&Neuro

(Child Neuro)None Y

Robert J Coryell, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y

AB Psych&Neu-ro (Child Neuro), AB Psych&Neuro

(Neurology)

None Y

Erika L Finanger, MD

OHSU - Pediatric Nephrology Eastside 300 N Graham Ste

300, Portland, OR. 97227 800-813-2000

F YAB Psych&Neuro

(Child Neuro)None Y

Erika L Finanger, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YAB Psych&Neuro

(Child Neuro)None Y

Andrea J Frank, PNP

OHSU - Doernbecher Special-ty Pediatrics Westside 15220

NW Laidlaw Ste 102, Portland, OR. 97229 800-813-2000

F Y None Spanish Y

Andrea J Frank, PNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Alana S Golden, MD

LSC - Legacy Salmon Creek Pediatric Multispecialty

Clinic 2121 NE 139th St Ste 200, Vancouver, WA. 98686

800-813-2000

F YAB Neurology

(Pediatric)None Y

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Page 251 19415_9-19

David A Kube, MD

OHSU - Child Development & Rehabilitation Center - Eu-

gene 901 E 18th Ave, Eugene, OR. 97403 800-813-2000

M YAB Pediatrics, AB pe-diatrics (Neurodevel-opmental Disabilities)

None Spanish Y

David A Kube, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M YAB Pediatrics, AB pe-diatrics (Neurodevel-opmental Disabilities)

None Spanish Y

David A Kube, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Pediatrics, AB pe-diatrics (Neurodevel-opmental Disabilities)

None Spanish Y

Michele E Metrick, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F YAB Pediatrics, AB

Neurology (Pediatric)None Spanish Y

Michael S Narus, DO

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Juan A Piantino, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Psych&Neuro

(Psychiatry)None Y

Joseph D Pinter, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M YAB Psych&Neuro

(Child Neuro)None Spanish Y

Joseph D Pinter, MD

OHSU - Doernbecher Special-ty Pediatrics Westside 15220

NW Laidlaw Ste 102, Portland, OR. 97229 800-813-2000

M YAB Psych&Neuro

(Child Neuro)None Spanish Y

Joseph D Pinter, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Psych&Neuro

(Child Neuro)None Spanish Y

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Page 252 19415_9-19

Colin M Roberts, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Neurology

(Pediatric)None Y

Brian T Rogers, MD

OHSU - Child Development & Rehabilitation Center - Eu-

gene 901 E 18th Ave, Eugene, OR. 97403 800-813-2000

M YAB Pediatrics, AB Pe-diatrics (Neurodevel-opmental Disabilities)

None Y

Brian T Rogers, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M YAB Pediatrics, AB Pe-diatrics (Neurodevel-opmental Disabilities)

None Y

Brian T Rogers, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Pediatrics, AB Pe-diatrics (Neurodevel-opmental Disabilities)

None Y

Barry Russman, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Psych&Neuro

(Child Neuro)None Y

Jenny L Wilson, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YAB Psych&Neuro

(Child Neuro)None Y

Carter D Wray, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Psych&Neuro

(Child Neuro)None Y

Pediatric Oncology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Rebecca M Loret de Mola, DO

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

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Page 253 19415_9-19

Eneida R Nemecek, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Pediatric Ophthalmology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Shawn Goodman, MD

Child Eye Care Associates, LLC 9735 SW Shady Ln Ste

203, Tigard, OR. 97223 800-813-2000

F Y None Y

Daniel Karr, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Annie F Kuo, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y NoneMandarin (Chinese dialect)

Y

Allison R Loh, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Leah Reznick, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

David T Wheeler, MD

Child Eye Care Associates, LLC 9735 SW Shady Ln Ste

203, Tigard, OR. 97223 800-813-2000

M Y AB Ophthalmology None Y

Lorri B Wilson, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 254 19415_9-19

Pediatric Orthopedics

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Scott S Yang, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Pediatric Otolaryngology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Henry A Milczuk, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Pediatric Psychiatry

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Anca Balasu, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

F Y None Romanian Y

Craigan T Usher, MD

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

M Y None Y

Craigan T Usher, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 255 19415_9-19

Pediatric Pulmonology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Alexandra G Cornell, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Danny Hsia, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None

Spanish; Mandarin (Chinese dialect)

Y

Holger W Link, MD

OHSU - Psychiatry Mar-riott 2115 SW River Park-way, Portland, OR. 97201

800-813-2000

M Y None German Y

Holger W Link, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None German Y

Kelvin D MacDonald, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y AB Pediatrics None Y

John A McQueston, MD

LSC - Legacy Salmon Creek Pediatric Multispecialty

Clinic 2121 NE 139th St Ste 200, Vancouver, WA. 98686

800-813-2000

M Y None Y

John A McQueston, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Michael R Powers, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 256 19415_9-19

Pediatric Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Kenneth S Azarow, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Marilyn W Butler, MD

OHSU - Professional Medical Services, LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Marilyn W Butler, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

Christine M Eighmey, PNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Elizabeth Fialkowski, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Nicholas A Hamilton, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

John D Horton, MD

OHSU - Professional Medical Services, LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239 800-813-2000

M Y None Y

John D Horton, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

John D Horton, MD

PeaceHealth Sacred Heart Physicians - Pediatric Sur-gery 3377 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M Y None Y

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Page 257 19415_9-19

Mubeen A Jafri, MD

OHSU - Professional Medical Services, LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239 800-813-2000

M Y NoneUrdu; Hindi

Y

Mubeen A Jafri, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y NoneUrdu; Hindi

Y

Sanjay Krishnaswami, MD

OHSU - Professional Medical Services, LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Sanjay Krishnaswami, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Miranda R Lange, PA

PeaceHealth Sacred Heart Physicians - Pediatric Sur-gery 3377 RiverBend Dr, Springfield, OR. 97477

800-813-2000

F Y None Y

Julie McKee, NP

OHSU - Professional Medical Services, LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Julie McKee, NP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Ross Morgan, MD

PeaceHealth Sacred Heart Physicians - Pediatric Sur-gery 3377 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M Y None Spanish Y

Kimberly A Ruscher, MD

PeaceHealth Sacred Heart Physicians - Pediatric Sur-gery 3377 RiverBend Dr, Springfield, OR. 97477

800-813-2000

F Y None Y

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Page 258 19415_9-19

Edmund Y Yang, MD

PeaceHealth Sacred Heart Physicians - Pediatric Sur-gery 3377 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M Y None Y

Garret Zallen, MD

PeaceHealth Sacred Heart Physicians - Pediatric Sur-gery 3377 RiverBend Dr, Springfield, OR. 97477

800-813-2000

M Y None Y

Pediatric Urgent Care

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Carissa S Cousins, MDABC House 1054 SW 29th

Ave, Albany, OR. 97321 800-813-2000

F YAmerican Board of

Emergency MedicineNone Y

Carissa S Cousins, MD

Northwest Acute Care Spe-cialists, PC 825 NE Mult-

nomah Ste 240, Portland, OR. 97232 800-813-2000

F YAmerican Board of

Emergency MedicineNone Y

Pediatric Urology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Steven J Skoog, MD

OHSU - Doernbecher Special-ty Pediatrics Westside 15220

NW Laidlaw Ste 102, Portland, OR. 97229 800-813-2000

M Y AB Urology None Y

Steven J Skoog, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y AB Urology None Y

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Page 259 19415_9-19

Pediatrics

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Alysha Bennett, MD

Eugene Pediatric Associates, LLC 995 Willagillespie Rd

Ste 100, Eugene, OR. 97401 800-813-2000

F Y None N

Brock D Bernsten, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 541-222-8400

M Y AB Pediatrics None N

Laura E Bledsoe, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F Y None N

Pilar A Bradshaw, MD

Eugene Pediatric Associates, LLC 995 Willagillespie Rd

Ste 100, Eugene, OR. 97401 800-813-2000

F YAmerican Board of

PediatricsNone N

Loranee E Braun, MD

Eugene Pediatric Associates, LLC 995 Willagillespie Rd

Ste 100, Eugene, OR. 97401 800-813-2000

F YAB Pediatrics, AB

Pediatrics (Infectious Disease)

None N

Emily L Dalton, MD

Eugene Pediatric Associates, LLC 995 Willagillespie Rd

Ste 100, Eugene, OR. 97401 800-813-2000

F YAmerican Board of

PediatricsNone N

Krissi D Danielsson, MDPeaceHealth Siuslaw - 390 9th

St 390 9th St, Florence, OR. 97439 541-997-7134

F YAB Family Medicine

(MD)None N

David J Dorsa, MD

Eugene Pediatric Associates, LLC 995 Willagillespie Rd

Ste 100, Eugene, OR. 97401 800-813-2000

M Y None N

Leita M Dzubay, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F Y None N

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Page 260 19415_9-19

Oana Enea, DO

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F Y AB Pediatrics None N

Lauren J Herbert, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F YPediatric Infectious Diseases

None Spanish N

Mary B Horrall, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F Y None N

F J Joehnk, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

M Y None N

Miranda D Lanning, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F Y None N

Susan E Mann-Sweeney, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F Y None N

Ross Newman, MD

Eugene Pediatric Associates, LLC 995 Willagillespie Rd

Ste 100, Eugene, OR. 97401 800-813-2000

M Y None Spanish N

Karen Ortiz, MD

Eugene Pediatric Associates, LLC 995 Willagillespie Rd

Ste 100, Eugene, OR. 97401 800-813-2000

F Y None N

Kathleen M Palm, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F Y None N

Leslie R Pelinka, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F Y AB Pediatrics None Spanish N

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Page 261 19415_9-19

Leda Mae T Rabot-Cura, MD

PeaceHealth Cottage Grove - Ste 220 1515 Village Dr Ste

220, Cottage Grove, OR. 97424 800-813-2000

F Y NoneTagalog; Spanish

N

Fay Y Sunada, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F Y None N

Mary Ellen Ulmer, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F Y None N

Perinatology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Antonio E Frias, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Antonio E Frias, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Spanish Y

Ladawna Gievers, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YAB Pediatrics (Neo-natal-Perinatal), AB

PediatricsNone Y

Leonardo M Pereira, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

M YAmerican Board

of Obstetrics and Gynecology

NonePortu-guese; French

Y

Leonardo M Pereira, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAmerican Board

of Obstetrics and Gynecology

NonePortu-guese; French

Y

Leonardo M Pereira, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M YAmerican Board

of Obstetrics and Gynecology

NonePortu-guese; French

Y

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Page 262 19415_9-19

Physical Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Jennifer K Cann, MD

Northwest Occupational Medicine Center, Inc 9400

SW Beaverton-Hillsdale Hwy Ste 205, Beaverton, OR.

97005 800-813-2000

F Y None Y

Hans L Carlson, MD

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

M Y None Y

Hans L Carlson, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Steven J Janselewitz, MD

LSC - Legacy Salmon Creek Pediatric Rehab 2121 NE

139th St Ste 200, Vancouver, WA. 98686 800-813-2000

M YPediatric Physical

MedicineNone Y

Steven J Janselewitz, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M YPediatric Physical

MedicineNone Y

Edward Lairson, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

M Y None Y

Victor K Lin, MD

Rehabilitation Medicine Associates of Eugene-Spring-field, PC 242 Country Club Rd Ste 220, Eugene, OR. 97401

800-813-2000

M Y None Y

Craig D McNabb, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

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Page 263 19415_9-19

Gregory A Moore, MD

Pacific Sports and Inter-ventional Spine Physicians, LLC 74B Centennial Loop

Ste 100, Eugene, OR. 97401 800-813-2000

M YPain

MedicineAB Physical Medicine/

RehabilitationNone Y

Linda Okereke, MD

Orthopedic and Fracture Clinic, PC 11782 SW Barnes Rd Ste 300, Portland, OR.

97228 800-813-2000

F Y None Y

Thomas B Stason, DO

Brain Rehabilitation Medi-cine 1815 SW Marlow Ave

Ste 110, Portland, OR. 97225 800-813-2000

M YAOB Neuromusculo-skeletal (Osteo. Ma-nipulative Medicine)

None Y

Erik D Stowell, MD

Rehabilitation Medicine Associates of Eugene-Spring-field, PC 242 Country Club Rd Ste 220, Eugene, OR. 97401

800-813-2000

M Y None Y

Kathrin A Weller, MD

Rehabilitation Medicine Associates of Eugene-Spring-field, PC 242 Country Club Rd Ste 220, Eugene, OR. 97401

800-813-2000

F Y None German Y

Physical Medicine & Rehabilitation

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Robert E Arnsdorf, MD

Rehabilitation Medicine Associates of Eugene-Spring-field, PC 242 Country Club Rd Ste 220, Eugene, OR. 97401

800-813-2000

F Y None Y

Baljinder Brar, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

F YAB Physical Medicine/

RehabilitationNone Y

Raymond B Brumbaugh, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M YAB Physical Medicine/

RehabilitationNone Y

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Page 264 19415_9-19

Carolyn E Buel, NP

Praxis Medical Group, PC - Pain Management

Partners 2401 River Rd Ste 101, Eugene, OR. 97404

800-813-2000

F YPain Man-agement

None Spanish Y

Nels L Carlson, MD

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

M Y None Y

Nels L Carlson, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Paul C Coelho, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

Danielle L Erb, MD

Brain Rehabilitation Medi-cine 1815 SW Marlow Ave

Ste 110, Portland, OR. 97225 800-813-2000

F YAB Physical Medicine/Rehabilitation (Brain

Injury Medicine)None Y

Danielle L Erb, MD

Progressive Rehabilitation Associates, LLC 1815 SW

Marlow Ave Ste 110, Portland, OR. 97225 800-813-2000

F YAB Physical Medicine/Rehabilitation (Brain

Injury Medicine)None Y

Bradford B Lorber, MD

Northwest Occupational Medicine Center, Inc 9400

SW Beaverton-Hillsdale Hwy Ste 205, Beaverton, OR.

97005 800-813-2000

M YAB Physical Medicine/

RehabilitationNone Y

James R Morris, MD

Praxis Medical Group, PC - Pain Management

Partners 2401 River Rd Ste 101, Eugene, OR. 97404

800-813-2000

M YPain Man-agement

AB Family Medicine (MD)

None Spanish Y

Sonesh Patel, DO

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

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Page 265 19415_9-19

Gregory M Phillips, MD

Pacific Sports and Inter-ventional Spine Physicians, LLC 74B Centennial Loop

Ste 100, Eugene, OR. 97401 800-813-2000

M YPain

MedicineAB Physical Medicine/

RehabilitationNone Y

Dung X Truong, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M YAB Physical Medicine/

RehabilitationNone Y

Lee E Vranna, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

Plastic Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Edwin Austin, MDAustin, Edwin, MD 875 Oak St SE Ste 4060, Salem, OR.

97301 800-813-2000M Y None Y

Jens U Berli, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y NoneGerman; French

Y

Shiliang Chang, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y NoneMandarin (Chinese dialect)

Y

Dustin Christiansen, MD

Pacific Plastic Surgery, PC DBA Northwest Plastic

Surgery 743 Country Club Rd, Eugene, OR. 97401

800-813-2000

M Y AB Plastic Surgery None Hungarian Y

Laura Dillon, PA

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 266 19415_9-19

Manuel Gigena, MD

WVC - Manuel Gigena, MD Plastic Surgery 2700 SE

Stratus Ave, McMinnville, OR. 97128 800-813-2000

M Y None Y

Juliana Hansen, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

John H Hunts, MD, PhD

John H Hunts, MD, PhD, LLC DBA Aesthetic Surgical

Arts 2550 Willakenzie Rd Ste 1, Eugene, OR. 97401

800-813-2000

M YOphthal-mology

None Y

John S Lee, MDLee, John S, MD, PC 4085 SW 109th Ave Ste 200, Beaverton,

OR. 97005 800-813-2000M Y AB Plastic Surgery None Korean Y

Dann K Leonard, MDLeonard, Dann K, MD 700

Bellevue St S Ste 280, Salem, OR. 97301 800-813-2000

M Y None Y

Angelo B Lipira, MD

OHSU - Center for Health and Healing Clinics 3303 SW Bond Ave Ste 8, Portland, OR.

97239 800-813-2000

M Y None Y

Angelo B Lipira, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Kiya K Movassaghi, MD

Movassaghi, Kiya, MD, PC 330 S Garden Way Ste 100, Eugene, OR. 97401

800-813-2000

F Y AB Plastic Surgery None Y

Reid Mueller, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Reid Mueller, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M Y None Y

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Page 267 19415_9-19

Brent E Schultz, MD

Pacific Plastic Surgery, PC DBA Northwest Plastic

Surgery 743 Country Club Rd, Eugene, OR. 97401

800-813-2000

M Y

Plastic Surgery,

Hand Surgery

AB Plastic Surgery None Y

Joel S Solomon, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M YHand

SurgeryNone Y

Michael J Wheatley, MDWheatley, Michael, MD 3550

N Interstate Ave, Portland, OR. 97227 800-813-2000

M Y None Y

Alix Wherley, PA

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Podiatry

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Brian D Ashdown, DPM

Ashdown, Brian D DBA Alba-ny Foot Clinic 2605 Willetta St SW Ste D2, Albany, OR. 97321

800-813-2000

M Y None Y

John L Hembree, DPM

LSC - Legacy Foot and Ankle SC 2101 NE 139th St Ste

260, Vancouver, WA. 98686 800-813-2000

M Y None Y

John L Hembree, DPM

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Janson Holm, DPM

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

M Y

AB Podiatric Surgery (Reconstruct Rearfoot and Ankle Surg), AB

Podiatric Surgery (Foot Surgery)

None Y

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Page 268 19415_9-19

Janson Holm, DPM

Portland Clinic The, LLP - Ti-gard Medical Office 9250 SW Hall Blvd, Tigard, OR. 97223

800-813-2000

M Y

AB Podiatric Surgery (Reconstruct Rearfoot and Ankle Surg), AB

Podiatric Surgery (Foot Surgery)

None Y

James E Lisle, DPM

Lisle, James E, DPM, LLC dba Cascade Foot Center 3474

Liberty Rd S, Salem, OR. 97302 800-813-2000

M Y None Y

Antonia L McClune, DPM

Portland Clinic The, LLP - Co-lumbia Office 5847 NE 122nd

Ave Ste 201, Portland, OR. 97230 800-813-2000

F Y None Y

Antonia L McClune, DPM

Portland Clinic The, LLP - Northeast Office 5005 NE Sandy Blvd, Portland, OR.

97213 800-813-2000

F Y None Y

Antonia L McClune, DPM

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

F Y None Y

Antonia L McClune, DPM

Portland Clinic The, LLP - Ti-gard Medical Office 9250 SW Hall Blvd, Tigard, OR. 97223

800-813-2000

F Y None Y

Michael McCourt, DPM

Eugene Foot and Ankle, LLC - Cottage Grove 1260 E Main St, Cottage Grove, OR. 97424

800-813-2000

M YAB Podiatric Surgery

(Foot Surgery)None Spanish Y

Michael McCourt, DPMEugene Foot and Ankle, LLC - Florence 340 9th St, Florence,

OR. 97439 800-813-2000M Y

AB Podiatric Surgery (Foot Surgery)

None Spanish Y

Michael McCourt, DPM

Eugene Foot and Ankle, LLC 1680 Chambers St Ste

201, Eugene, OR. 97402 800-813-2000

M YAB Podiatric Surgery

(Foot Surgery)None Spanish Y

Jacob M McLeod, DPM

Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste 210, Longview, WA. 98632

800-813-2000

M Y None Y

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Page 269 19415_9-19

Jamie N Mieras, DPM

LSC - Legacy Foot and Ankle SC 2101 NE 139th St Ste

260, Vancouver, WA. 98686 800-813-2000

F Y None Y

Jamie N Mieras, DPM

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Bettricia A Otto, DPM

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Y

Bettricia A Otto, DPM

OHSU - Family Health Center at Scappoose 51377 SW

Old Portland Rd Crossroads Plaza, Scappoose, OR. 97056

800-813-2000

F Y None Y

Bettricia A Otto, DPM

OHSU - Richmond Health Center 3930 SE Division St, Portland, OR. 97202

800-813-2000

F Y None Y

Ruben Pollak, DPMSantiam Podiatry Clinic 1369

N 10th Ave, Stayton, OR. 97383 800-813-2000

M Y None Y

Jared Remmers, DPM

LSC - Legacy Foot and Ankle SC 2101 NE 139th St Ste

260, Vancouver, WA. 98686 800-813-2000

M Y None Y

Jared Remmers, DPM

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Steven G Schatz, DPM

Ankle and Foot Clinic of Lower Columbia, PLLC 1114 Broadway St, Longview, WA.

98632 800-813-2000

M YAB Podiatric Surgery

(Foot Surgery)None Y

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Page 270 19415_9-19

Andrew B Shinabarger, DPM

LSC - Legacy Salmon Creek Pediatric Multispecialty

Clinic 2121 NE 139th St Ste 200, Vancouver, WA. 98686

800-813-2000

M Y None Y

Andrew B Shinabarger, DPM

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Justin Tidwell, DPM

LSC - Legacy Foot and Ankle SC 2101 NE 139th St Ste

260, Vancouver, WA. 98686 800-813-2000

M Y None Y

Justin Tidwell, DPM

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Karla A Trombello, DPM

Ankle and Foot Clinic of Lower Columbia, PLLC 1114 Broadway St, Longview, WA.

98632 800-813-2000

F YAB Podiatric Surgery

(Foot Surgery)None Y

Psychiatry

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Robert C Axelrod, MD

PeaceHealth Medical Group - Lower Columbia - Behav-ioral Health 600 Broadway,

Longview, WA. 98632 800-813-2000

M Y None Y

Jonathan P Betlinski, MD

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

M Y None Y

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Page 271 19415_9-19

Jonathan P Betlinski, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Whitney E Black, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Amela Blekic, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

James K Boehnlein, MD

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

M Y None Y

James K Boehnlein, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Abigail L Bohn, NP

Larsen Sanchez Psychology, LLC DBA Portland Mental

Health and Wellness - San-dy 1785 NE Sandy Blvd Ste 270, Portland, OR. 97232

800-813-2000

F Y None Y

Jocelyn W Bonner, MD

Center for Family Devel-opment, Inc - Central 1234 High St, Eugene, OR. 97401

800-813-2000

F Y None Y

Jocelyn W Bonner, MD

Center for Family Devel-opment, Inc - South 1501

Pearl St, Eugene, OR. 97401 800-813-2000

F Y None Y

Catriona Buist, PSYD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 272 19415_9-19

Satyanarayana Chandragiri, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None

Tamil; Ma-lay (Ma-laysian);

Kannada; Hindi

Y

Jessica A Clarke, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Daniel J Costa, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y NoneSpanish;

Portu-guese

Y

James W Dickerson, MD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 460 1200 Hil-yard St Ste 460, Eugene, OR.

97401 800-813-2000

M Y None Y

Ken R Erickson, MD, PHD

Erickson, Kenneth R, MD, PhD 6950 SW Hampton St Ste 203, Tigard, OR. 97223

800-813-2000

M Y None Y

James A Farley, MD

Willamette Valley Family Center, LLC 610 Jefferson

St, Oregon City, OR. 97045 800-813-2000

M Y None Y

Kelley Fellman, MD

Trillium Family Services, Inc- Waverly Childrens Home 3415 SE Powell Blvd, Portland, OR.

97202 800-813-2000

F Y None Y

Marian Fireman, MD

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

F Y None Y

Robert A George, MD

Options Counseling Services of Oregon, Inc- Washington

8285 SW Nimbus Ave Ste 148, Beaverton, OR. 97008

800-813-2000

M Y None Y

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Page 273 19415_9-19

Grant Godbey, MD

Options Counseling Ser-vices of Oregon, Inc- North Salem 2645 Portland Rd NE Ste 120, Salem, OR. 97301

800-813-2000

M Y None Y

Robert D Gold, MDGold, Robert D, MD 5050 NE Hoyt St Ste 522, Portland, OR.

97213 800-813-2000M Y None Y

Anne F Gross, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

James O Hancey, MD, PHD

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

M Y None Y

James O Hancey, MD, PHD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Carolyn M Hartman, MD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 460 1200 Hil-yard St Ste 460, Eugene, OR.

97401 800-813-2000

F YGeriatric

PsychiatryNone Y

Kimberly A Humann, MD

OHSU - Avel Gordly Center for Healing 621 SW Alder St Ste 520, Portland, OR. 97205

800-813-2000

F Y None Spanish Y

Kimberly A Humann, MD

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

F Y None Spanish Y

Kimberly A Humann, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

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Page 274 19415_9-19

George A Keepers, MD

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

M Y None Y

George A Keepers, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

John M Kinzie, MD

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

M Y None Y

John M Kinzie, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

John D Kinzie, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Paul Leung, MD

OHSU - Avel Gordly Center for Healing 621 SW Alder St Ste 520, Portland, OR. 97205

800-813-2000

M Y None

Viet-namese;

Mandarin (Chinese dialect);

Can-tonese

(Chinese dialect)

Y

Paul Leung, MD

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

M Y None

Viet-namese;

Mandarin (Chinese dialect);

Can-tonese

(Chinese dialect)

Y

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Page 275 19415_9-19

Paul Leung, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None

Viet-namese;

Mandarin (Chinese dialect);

Can-tonese

(Chinese dialect)

Y

Brian S Liebreich, MDLiebreich, Brian, MD 4805 NE

Glisan St 3E, Portland, OR. 97213 800-813-2000

M Y None Y

John O Lipkin, MD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 460 1200 Hil-yard St Ste 460, Eugene, OR.

97401 800-813-2000

M YAB Psych&Neuro

(Psychiatry)None Y

David J Mansoor, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Eileen K McCarty, MD

Trillium Family Services, Inc- Childrens Farm Home 4455 NE Hwy 20, Corvallis, OR.

97330 800-813-2000

F Y

Psychiatry, Child & Adoles-

cent

None Y

Eileen K McCarty, MD

Trillium Family Services, Inc- Waverly Childrens Home 3415 SE Powell Blvd, Portland, OR.

97202 800-813-2000

F Y

Psychiatry, Child & Adoles-

cent

None Y

George Mecouch, DOMecouch, George, DO 754

Officers Row, Vancouver, WA. 98661 800-813-2000

M Y None Y

Nima Mowzoon, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Bonnie J Nagel, PhD

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

F Y None Y

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Page 276 19415_9-19

Bonnie J Nagel, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Mina D Nguyen-Driver, PsyD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

F Y NoneVietnam-

eseY

Mina D Nguyen-Driver, PsyD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y NoneVietnam-

eseY

Alireza Parsoei, MD

PeaceHealth Medical Group Oregon - Behavioral Health - 11th Ave 770 E 11th

Ave, Eugene, OR. 97401 800-813-2000

M Y

Psychiatry, Child & Adoles-

cent

None Farsi Y

Alireza Parsoei, MD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 420 1200 Hil-yard St Ste 420, Eugene, OR.

97401 800-813-2000

M Y

Psychiatry, Child & Adoles-

cent

None Farsi Y

Jane G Payne, MD

Salem Health Bldg E - Psychi-atric Medicine Center 1127

Oak St SE Bldg E, Salem, OR. 97301 800-813-2000

F Y None Y

Cesar P Rafano, MD

Columbia Wellness - Child and Family 720 14th Ave Ste 200, Longview, WA. 98632

800-813-2000

M Y None Tagalog Y

Cesar P Rafano, MDColumbia Wellness 921 14th Ave, Longview, WA. 98632

800-813-2000M Y None Tagalog Y

Farahnaz Raqib, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 277 19415_9-19

Jennifer O Schumann, MD

Eugene Pediatric Associates, LLC 995 Willagillespie Rd

Ste 100, Eugene, OR. 97401 800-813-2000

F Y

AB Psych&Neuro (Psychiatry), AB Psy-

ch&Neuro (Child/Adol Psych)

None Y

Jennifer O Schumann, MD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 420 1200 Hil-yard St Ste 420, Eugene, OR.

97401 800-813-2000

F Y

AB Psych&Neuro (Psychiatry), AB Psy-

ch&Neuro (Child/Adol Psych)

None Y

Ramona K Sherman, ARNP

PeaceHealth Medical Group - Lower Columbia - Behav-ioral Health 600 Broadway,

Longview, WA. 98632 800-813-2000

F Y None Y

Jerad R Shoemaker, MD

PeaceHealth Medical Group - Lower Columbia - Behav-ioral Health 600 Broadway,

Longview, WA. 98632 800-813-2000

M Y None Y

Richard R Sogn, MDSogn, Richard R, MD 9900 SW Wilshire St Ste 260, Portland,

OR. 97225 800-813-2000M Y None Y

Edward J Stanford, MD

Trillium Family Services, Inc- Edwards School Location 1715 SE 32nd Pl, Portland, OR. 97214 800-813-2000

M Y

Psychiatry, Child & Adoles-

cent

None Y

Michael S Stanley, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Karen A Vernier, MD

LSC- Legacy Psychiatric Con-sult Liaison 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Karen A Vernier, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

M H Weinstein, MD

Weinstein, M Howard, MD, PC 1220 SW Morrison St Ste

500, Portland, OR. 97205 800-813-2000

M Y None Y

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Page 278 19415_9-19

H E Whiteley, MD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 420 1200 Hil-yard St Ste 420, Eugene, OR.

97401 800-813-2000

M YGeriatric

PsychiatryNone Y

H E Whiteley, MD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 460 1200 Hil-yard St Ste 460, Eugene, OR.

97401 800-813-2000

M YGeriatric

PsychiatryNone Y

William H Wilson, MD

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

M Y None Y

William H Wilson, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Jay Wung, MD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 460 1200 Hil-yard St Ste 460, Eugene, OR.

97401 800-813-2000

M Y None Y

Jay Wung, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y None Y

Michael J Zalanka, MD

LSC- Legacy Psychiatric Con-sult Liaison 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Michael J Zalanka, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

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Page 279 19415_9-19

Psychiatry, Child & Adolescent

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Robert C Brasted, MD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 420 1200 Hil-yard St Ste 420, Eugene, OR.

97401 800-813-2000

M Y Psychiatry

AB Psych&Neuro (Psychiatry), AB Psy-

ch&Neuro (Child/Adol Psych)

None Y

Keith Y Cheng, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y

AB Psych&Neuro (Psychiatry), AB Psy-

ch&Neuro (Child/Adol Psych)

None Y

Keith Y Cheng, MD

Trillium Family Services, Inc- Childrens Farm Home 4455 NE Hwy 20, Corvallis, OR.

97330 800-813-2000

M Y

AB Psych&Neuro (Psychiatry), AB Psy-

ch&Neuro (Child/Adol Psych)

None Y

Keith Y Cheng, MD

Trillium Family Services, Inc- Day Program at Wake Robin 4455 NE Hwy 20, Corvallis, OR. 97330 800-813-2000

M Y

AB Psych&Neuro (Psychiatry), AB Psy-

ch&Neuro (Child/Adol Psych)

None Y

Keith Y Cheng, MD

Trillium Family Services, Inc- Edwards School Location 1715 SE 32nd Pl, Portland, OR. 97214 800-813-2000

M Y

AB Psych&Neuro (Psychiatry), AB Psy-

ch&Neuro (Child/Adol Psych)

None Y

Keith Y Cheng, MD

Trillium Family Services, Inc- Parry Center for Children

3415 SE Powell Blvd, Portland, OR. 97202 800-813-2000

M Y

AB Psych&Neuro (Psychiatry), AB Psy-

ch&Neuro (Child/Adol Psych)

None Y

Keith Y Cheng, MD

Trillium Family Services, Inc- Waverly Childrens Home 3415 SE Powell Blvd, Portland, OR.

97202 800-813-2000

M Y

AB Psych&Neuro (Psychiatry), AB Psy-

ch&Neuro (Child/Adol Psych)

None Y

Esther L Freeman, PhD

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

F Y None Y

Esther L Freeman, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 280 19415_9-19

Arlene D Hagen, MD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

F Y

AB Psych&Neuro (Psychiatry), AB Psy-

ch&Neuro (Child/Adol Psych)

None Y

Arlene D Hagen, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y

AB Psych&Neuro (Psychiatry), AB Psy-

ch&Neuro (Child/Adol Psych)

None Y

Ajitkumar N Jetmalani, MD

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

M Y

AB Psych&Neuro (Psychiatry), AB Psy-

ch&Neuro (Child/Adol Psych)

None Y

Ajitkumar N Jetmalani, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y

AB Psych&Neuro (Psychiatry), AB Psy-

ch&Neuro (Child/Adol Psych)

None Y

Keith G Lowenstein, MD

Lowenstein Keith, MD, PC 15160 NW Laidlaw Rd Ste 240, Portland, OR. 97229

800-813-2000

M Y Psychiatry None Y

Psychology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Andrew G Barnes, PhD

Northwest Occupational Medicine Center, Inc 9400

SW Beaverton-Hillsdale Hwy Ste 205, Beaverton, OR.

97005 800-813-2000

M Y None Y

Cheryl Brischetto, PhD

Progressive Rehabilitation Associates, LLC 1815 SW

Marlow Ave Ste 110, Portland, OR. 97225 800-813-2000

F Y None Y

Mark R Burton, PsyDBurton, Mark, PsyD 7505 Bev-eland Rd Ste 201, Tigard, OR.

97223 800-813-2000M Y None Y

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Page 281 19415_9-19

James W Carson, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Camille Curry, PsyD

Larsen Sanchez Psychology, LLC DBA Portland Mental

Health and Wellness 3050 SE Division St Ste 215, Portland,

OR. 97202 800-813-2000

F Y None Y

Thomas E Deshler, PhD

Willamette Valley Family Center, LLC 610 Jefferson

St, Oregon City, OR. 97045 800-813-2000

M Y None Y

Julie A Dicks, PhDDicks, Julie, PhD, PC 9999 SW Wilshire St Ste 216, Portland,

OR. 97225 800-813-2000F Y None Y

Andrew P Ellis, PhD

Progressive Rehabilitation Associates, LLC 1815 SW

Marlow Ave Ste 110, Portland, OR. 97225 800-813-2000

M Y None Y

Kurt A Freeman, PhD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M Y None Y

Kurt A Freeman, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Sopha Hang, PsyDHang, Sopha, PsyD 6935 SW

Hall Blvd, Beaverton, OR. 97008 800-813-2000

F Y NoneCambo-

dianY

Michael A Harris, PhD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M Y None Y

Michael A Harris, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 282 19415_9-19

Darren M Janzen, PsyD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

M Y None Y

Darren M Janzen, PsyD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Thomas Kern, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Leeza M Maron, PhD

OHSU - University Psychiatry & Behavioral Health Services,

LLC 3181 SW Sam Jackson Park Rd, Portland, OR. 97239

800-813-2000

F Y None Y

Leeza M Maron, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Forrest Merrill, PsyD

Larsen Sanchez Psychology, LLC DBA Portland Mental

Health and Wellness 3050 SE Division St Ste 215, Portland,

OR. 97202 800-813-2000

M Y None Y

Wendy G Newton, PSYD

Newton, Wendy, PsyD 3939 NE Hancock St Ste 314, Portland, OR. 97212

800-813-2000

F Y None Y

Joel T Nigg, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Jason M Quiring, PhD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 420 1200 Hil-yard St Ste 420, Eugene, OR.

97401 800-813-2000

M Y None Y

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Page 283 19415_9-19

Gregg F Reiter, PhDReiter, Gregg F, PhD, PC 5050

NE Hoyt Ste 522, Portland, OR. 97213 800-813-2000

M Y None Y

Steven R Rolnick, PhD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 460 1200 Hil-yard St Ste 460, Eugene, OR.

97401 800-813-2000

M Y None Y

Sage N Saxton, PsyD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

F Y None Y

Sage N Saxton, PsyD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Gregory T Smith, PhD

Progressive Rehabilitation Associates, LLC 1815 SW

Marlow Ave Ste 110, Portland, OR. 97225 800-813-2000

M Y None Y

Laura H Smith, PsyD

LSC - Legacy Clinic Salmon Pain Management Center 2101 NE 139th St Ste 265,

Vancouver, WA. 98686 800-813-2000

F Y None Y

Laura H Smith, PsyD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Hundley Suber, PsyD

Larsen Sanchez Psychology, LLC DBA Portland Mental

Health and Wellness - San-dy 1785 NE Sandy Blvd Ste 270, Portland, OR. 97232

800-813-2000

M Y None Y

Erica Tan, PsyD

Portland DBT Institute, Inc 5200 SW Macadam Ste

580, Portland, OR. 97239 800-813-2000

F Y None Y

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Page 284 19415_9-19

Aaron Vederman, PhD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Elizabeth R Watson-Stites, PhD

OHSU - Child Development & Rehabilitation Center - Eu-

gene 901 E 18th Ave, Eugene, OR. 97403 800-813-2000

F Y None Y

Elizabeth R Watson-Stites, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Deborah L White, PhD

Willamette Valley Family Center, LLC 610 Jefferson

St, Oregon City, OR. 97045 800-813-2000

F Y None Y

Katherine V Wild, PhD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None Hungarian Y

Anna C Wilson, PhD

OHSU - Child Development & Rehabilitation Center - Portland 707 SW Gaines Rd, Portland, OR. 97239

800-813-2000

F Y None Y

Anna C Wilson, PhD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Christine Wung, PsyD

PeaceHealth Medical Group Oregon - Univ Dist Behavioral

Health - Ste 420 1200 Hil-yard St Ste 420, Eugene, OR.

97401 800-813-2000

F Y None Y

Page 289: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 285 19415_9-19

Pulmonary Critical Care Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Dewey K Clark, MD

Northwest Newborn Spe-cialists, PC 9205 SW Barnes

Rd, Portland, OR. 97225 800-813-2000

M YAB Pediatrics (Critical

Care Med)None Y

Jeffrey Gold, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y

AB Int Med (Pulmo-nary Disease), AB Int

Med (Critical Care Med)

None Y

Pulmonary Disease

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Khuram Ameen, MD

Oregon Lung Specialists, LLC 3355 RiverBend Dr Ste 240, Springfield, OR. 97477

800-813-2000

M Y None Y

Divya Bappanad, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

F YAB Internal Medicine, AB Int Med (Pulmo-

nary Disease)None Y

Mark Chesnutt, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

James A Christon, MD

Oregon Lung Specialists, LLC 3355 RiverBend Dr Ste 240, Springfield, OR. 97477

800-813-2000

M Y None Y

James R Copeland, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y None Y

Martin C Johnson II, MDSalem Pulmonary Associates, PC 801 Mission St SE, Salem,

OR. 97302 800-813-2000M Y

Critical Care

MedicineNone Spanish Y

Page 290: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 286 19415_9-19

Karthik P Mahadevan, MD

Oregon Lung Specialists, LLC 3355 RiverBend Dr Ste 240, Springfield, OR. 97477

800-813-2000

M Y None Y

Steven Marvel, MDSalem Pulmonary Associates, PC 801 Mission St SE, Salem,

OR. 97302 800-813-2000M Y None Spanish Y

Michael I McNellis, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M YCritical

Care Medicine

None Y

Bart C Moulton, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Binaya Rimal, MD

Oregon Lung Specialists, LLC 3355 RiverBend Dr Ste 240, Springfield, OR. 97477

800-813-2000

M Y None Y

Indulal K Rughani, MD

Oregon Lung Specialists, LLC 3355 RiverBend Dr Ste 240, Springfield, OR. 97477

800-813-2000

M Y None Y

Jaswinderpal Sandhu, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y NonePunjabi;

HindiY

Matthew B Walter, MD

Oregon Lung Specialists, LLC 3355 RiverBend Dr Ste 240, Springfield, OR. 97477

800-813-2000

M Y None Y

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Page 287 19415_9-19

Pulmonary Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

David B Jacoby, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YInternal

MedicineNone Y

Donald R Sullivan, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YCritical

Care Medicine

None Y

Pulmonology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Gopal Allada, MD

OHSU - Psychiatry Mar-riott 2115 SW River Park-way, Portland, OR. 97201

800-813-2000

M Y None Y

Gopal Allada, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Alan F Barker, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Stephanie A Coates, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Stephanie A Coates, MDVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

F Y None Y

Matthew G Drake, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Page 292: Affiliated Provider Directory - Kaiser Permanente...State St, Salem, OR. 97301 800-813-2000 M Y None Y Nichol S Halverson, ARNP Longview Orthopedic Asso-ciates, PLLC 625 9th Ave Ste

Page 288 19415_9-19

Daniel Erichsen, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

F Y Pediatrics None Y

Yasaman Eslaamizaad, MDSalem Pulmonary Associates, PC 801 Mission St SE, Salem,

OR. 97302 800-813-2000F Y None Y

Kamran Firoozi, MDSalem Pulmonary Associates, PC 801 Mission St SE, Salem,

OR. 97302 800-813-2000M Y None Spanish Y

John C Fowler, MDVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

M Y None Y

Todd W Gienapp, DO

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Todd W Gienapp, DOVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

M Y None Y

Stephen B Hall, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Saleh Ismail, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y

Critical Care

MedicineNone Y

Saleh Ismail, MDSalem Pulmonary Associates, PC 801 Mission St SE, Salem,

OR. 97302 800-813-2000M Y

Critical Care

MedicineNone Y

Joseph B Jura, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Joseph B Jura, MDVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

M Y None Y

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Page 289 19415_9-19

Venugopal Komakula, MD

PeaceHealth - RiverBend Pavilion Bldg 3377 RiverBend

Dr, Springfield, OR. 97477 800-813-2000

M YFamily

PracticeNone Y

Meghan K McCullers, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Meghan K McCullers, MDVancouver Clinic Inc, The 501

SE 172nd Ave, Vancouver, WA. 98684 800-813-2000

F Y None Y

Nimeshkumar S Mehta, MD

Salem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y

Critical Care

MedicineNone

Gujarati; Hindi

Y

Nimeshkumar S Mehta, MD

Salem Pulmonary Associates, PC 801 Mission St SE, Salem,

OR. 97302 800-813-2000M Y

Critical Care

MedicineNone

Gujarati; Hindi

Y

Katsufumi Nishida, MD

Oregon Lung Specialists, LLC 3355 RiverBend Dr Ste 240, Springfield, OR. 97477

800-813-2000

M Y None Y

Stephanie A Nonas, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

James F Parosa, MDSalem Pulmonary Associates, PC 801 Mission St SE, Salem,

OR. 97302 800-813-2000M Y

Internal Medicine

None Spanish Y

Bharat V Prakash, MDSalem Pulmonary Associates, PC 801 Mission St SE, Salem,

OR. 97302 800-813-2000M Y None Spanish Y

Kavan Ramachandran, MDSalem Pulmonary Associates, PC 801 Mission St SE, Salem,

OR. 97302 800-813-2000M Y

Critical Care

MedicineNone Spanish Y

Margareth Saldanha, MD

PeaceHealth - Urgent Care RiverBend 3377 RiverBend Dr, Springfield, OR. 97477

800-813-2000

F Y NoneSpanish;

Portu-guese

Y

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Page 290 19415_9-19

Margareth Saldanha, MD

PeaceHealth Sacred Heart Physicians - Neurohospitalists 3311 RiverBend Dr OHVI 3rd

Flr, Springfield, OR. 97477 800-813-2000

F Y NoneSpanish;

Portu-guese

Y

Virginia Satcher, ANP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Kamal G Shaker, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Bijaya K Shrestha, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y None Spanish Y

Bijaya K Shrestha, MDSalem Pulmonary Associates, PC 801 Mission St SE, Salem,

OR. 97302 800-813-2000M Y None Spanish Y

Radiation Oncology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

William W Chance, MD

Radiation Therapy Consul-tants, PC 875 Oak St Ste 1080, Salem, OR. 97301

800-813-2000

M Y None

Spanish; Russian; Vietnam-

ese

Y

John Holland, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Arthur Hung, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y NoneMandarin (Chinese dialect)

Y

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Page 291 19415_9-19

Andrew Kee, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Charlotte D Kubicky, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y NoneMandarin (Chinese dialect)

Y

Misa M Lee, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y Allergy None Korean Y

Won S Lee, MD

LSC - Legacy Salmon Creek Radiation Oncology 2211 NE 139th St Ste 100, Vancouver,

WA. 98686 800-813-2000

M Y None Y

Won S Lee, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

Kathryn V Panwala, MD

LSC - Legacy Salmon Creek Radiation Oncology 2211 NE 139th St Ste 100, Vancouver,

WA. 98686 800-813-2000

F Y None Y

Kathryn V Panwala, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Nancy Reyes-Molyneux, MD

Radiation Therapy Consul-tants, PC 875 Oak St Ste 1080, Salem, OR. 97301

800-813-2000

F Y None Y

Mark F Schray, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Y

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Page 292 19415_9-19

Kenneth R Stevens, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Charles Thomas, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Samuel J Wang, MD

Radiation Therapy Consul-tants, PC 875 Oak St Ste 1080, Salem, OR. 97301

800-813-2000

M Y None Y

Radiation Therapy

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Timur Mitin, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Reproductive Endocrinology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Shannel R Adams, MD

Oregon Reproductive Medicine, LLC 808 SW 15th

Ave, Portland, OR. 97205 800-813-2000

F Y None Y

Paula Amato, MD

OHSU - University Fertility Consultants, LLC 3303 SW

Bond Ave CH 10F, Portland, OR. 97239 800-813-2000

F Y None Italian Y

Paula Amato, MD

OHSU - University Fertility Consultants, LLC 3303 SW

Bond Ave CH 10F, Portland, OR. 97239 800-813-2000

F YAB ObGyn (Repro

Endocrinology)None Italian Y

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Page 293 19415_9-19

Brandon J Bankowski, MD

Oregon Reproductive Medicine, LLC 808 SW 15th

Ave, Portland, OR. 97205 800-813-2000

M Y None Y

Elizabeth Barbieri, MD

Oregon Reproductive Medicine - Barnes Location

9555 SW Barnes Rd Ste 255, Portland, OR. 97225

800-813-2000

F YAmerican Board

of Obstetrics and Gynecology

None Y

Elizabeth Barbieri, MD

Oregon Reproductive Medicine, LLC 808 SW 15th

Ave, Portland, OR. 97205 800-813-2000

F YAmerican Board

of Obstetrics and Gynecology

None Y

John S Hesla, MD

Oregon Reproductive Medicine - Barnes Location

9555 SW Barnes Rd Ste 255, Portland, OR. 97225

800-813-2000

M YObstetrics

& Gyne-cology

American Board of Obstetrics and

GynecologyNone Y

John S Hesla, MD

Oregon Reproductive Medicine, LLC 808 SW 15th

Ave, Portland, OR. 97205 800-813-2000

M YObstetrics

& Gyne-cology

American Board of Obstetrics and

GynecologyNone Y

Amanda Hurliman, MD

Oregon Reproductive Medicine - Barnes Location

9555 SW Barnes Rd Ste 255, Portland, OR. 97225

800-813-2000

F Y None Y

Amanda Hurliman, MD

Oregon Reproductive Medicine, LLC 808 SW 15th

Ave, Portland, OR. 97205 800-813-2000

F Y None Y

David M Lee, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

David M Lee, MD

OHSU - University Fertility Consultants, LLC 3303 SW

Bond Ave CH 10F, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 294 19415_9-19

Carmelo S Sgarlata, MD

Oregon Reproductive Medicine - Barnes Location

9555 SW Barnes Rd Ste 255, Portland, OR. 97225

800-813-2000

M Y None Y

Carmelo S Sgarlata, MD

Oregon Reproductive Medicine, LLC 808 SW 15th

Ave, Portland, OR. 97205 800-813-2000

M Y None Y

Diana H Wu, MD

OHSU - University Fertility Consultants, LLC 3303 SW

Bond Ave CH 10F, Portland, OR. 97239 800-813-2000

F Y NoneMandarin (Chinese dialect)

Y

Retina Specialist

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Steven Bailey, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YOphthal-mology

None Y

Andreas K Lauer, MD

OHSU - Casey Eye Insti-tute 3375 SW Terwilliger

Blvd, Portland, OR. 97239 800-813-2000

M YOphthal-mology

None Y

Alison H Skalet, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F YOphthal-mology

None Y

David J Wilson, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YOphthal-mology

None Y

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Page 295 19415_9-19

Rheumatology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Simona Braun, MD

Drs Cassell and Boren, PC 132 E Broadway Ste

830, Eugene, OR. 97401 800-813-2000

F Y None Czech Y

Sarah Cassell, MD

Drs Cassell and Boren, PC 132 E Broadway Ste

830, Eugene, OR. 97401 800-813-2000

F Y None Y

Sidney L Cassell, MD

Drs Cassell and Boren, PC 132 E Broadway Ste

830, Eugene, OR. 97401 800-813-2000

M Y None German Y

Cong Q Chu, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y NoneMandarin (Chinese dialect)

Y

Atulya A Deodhar, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Hindi Y

Mary Derlacki, FNP

Drs Cassell and Boren, PC 132 E Broadway Ste

830, Eugene, OR. 97401 800-813-2000

F Y None Y

Elena D Ghetie, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None

Spanish; Ameri-

can Sign Language;

Russian; Romanian;

French; Arabic

Y

Shirley B Ingram, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YImmunol-

ogyNone Y

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Page 296 19415_9-19

Leslie Kahl, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

James J Nakashima, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M YInternal

MedicineNone Y

Kelly A Portnoff, MD

Portland Clinic The, LLP - Beaverton Office 15950 SW

Millikan Way, Beaverton, OR. 97003 800-813-2000

F YAB Int Med

(Rheumatology)None Y

Kelly A Portnoff, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

F YAB Int Med

(Rheumatology)None Y

Kelly A Portnoff, MD

Portland Clinic The, LLP - Portland South Office 6640

SW Redwood Lane, Portland, OR. 97224 800-813-2000

F YAB Int Med

(Rheumatology)None Y

James T Rosenbaum, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YOphthal-mology

None Y

Carrie A Schreibman, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Pascale Schwab, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y NoneSpanish; French; Arabic

Y

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Page 297 19415_9-19

Sleep Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Akram Khan, MD

OHSU - Psychiatry Mar-riott 2115 SW River Park-way, Portland, OR. 97201

800-813-2000

M YAB Int Med (Pulmo-

nary Disease), AB Int Med (Sleep Medicine)

NoneUrdu; Hindi

Y

Akram Khan, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Int Med (Pulmo-

nary Disease), AB Int Med (Sleep Medicine)

NoneUrdu; Hindi

Y

Preetha S Kuppuswamy, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

F Y

AB Psych&Neuro (Psychiatry & Neurol-ogy Sleep Medicine),

AB Psych&Neuro (Psychiatry)

None Tamil Y

Amy L Meoli, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

F Y None Y

Social Work

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Lesley Alter, LCSW, MSSAlter, Lesley, LCSW, PC 9860 SW Hall Blvd Ste B, Tigard, OR. 97223 800-813-2000

F Y None Y

Lesley Alter, LCSW, MSS

Alter, Lesley, LCSW, PC- Ivan-hoe St 8532 N Ivanhoe Ste 203, Portland, OR. 97203

800-813-2000

F Y None Y

Gary Bredeweg, LCSW

Vista Counseling and Con-sultation, Inc 1551 Pearl St, Eugene, OR. 97401

800-813-2000

M Y None Y

Sarah E Clark, LCSW

PeaceHealth Medical Group Oregon - Behavioral Health - 11th Ave 770 E 11th

Ave, Eugene, OR. 97401 800-813-2000

F Y None Y

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Page 298 19415_9-19

Cara M England, MSW

PeaceHealth Medical Group Oregon - Univ Dist Behavioral Health - Ste 570 1200 Hilyard

St Ste 570, Eugene, OR. 97401 800-813-2000

F Y None Y

Laurel G Mansoor, LCSW, MSW

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Lorraine McKenzie, LCSW

PeaceHealth Medical Group Oregon - Univ Dist Behavioral Health - Ste 570 1200 Hilyard

St Ste 570, Eugene, OR. 97401 800-813-2000

F Y None Y

Andrea E Mittleider, LCSW

PeaceHealth Medical Group Oregon - Univ Dist Family Medicine 1200 Hilyard St

Ste 230, Eugene, OR. 97401 800-813-2000

F Y None Y

Dana L Molinari, LCSW

Gibler, Robin, LPC DBA Aiya-na Counseling, LLC 7822 SW Capitol Hwy Ste 5, Portland,

OR. 97219 800-813-2000

F Y None Y

Joanne E Serna, LCSW

MCHD - David Douglas School-Based Health Center 1034 SE 130th Ave, Portland,

OR. 97233 800-813-2000

F Y Allergy None Y

Speech Therapy

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Mary Barrett, CCC-SLP

NW Speech Therapy, LLC - 44th Avenue 1827 NE 44th Ave Ste 130, Portland, OR.

97213 800-813-2000

F Y None Y

Mary Barrett, CCC-SLP

NW Speech Therapy, LLC 7902 NE St Johns Rd Ste

102A, Vancouver, WA. 98665 800-813-2000

F Y None Y

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Page 299 19415_9-19

Andrea K Botwinick, MS, SlP

NWRA - Connect The Dots Pediatric Therapy, Inc 84 Cen-

tennial Loop, Eugene, OR. 97401 800-813-2000

F Y None Y

Leah Brakebill, MS, MS, CCC-SLP

Sensible Speech-Language Pathology, Inc 1475 Capitol

St NE, Salem, OR. 97301 800-813-2000

F Y None Y

Miranda M Breeden, MS, CCC-SLP

NW Speech Therapy, LLC - 44th Avenue 1827 NE 44th Ave Ste 130, Portland, OR.

97213 800-813-2000

F Y

American Speech-Lan-

guage-Hearing Association

None Y

Miranda M Breeden, MS, CCC-SLP

NW Speech Therapy, LLC 7902 NE St Johns Rd Ste

102A, Vancouver, WA. 98665 800-813-2000

F Y

American Speech-Lan-

guage-Hearing Association

None Y

James K Brunsmann, MS, CCC-SLP

Speech & Play, LLC 2360 SW 170th Ave, Beaverton, OR.

97006 800-813-2000M Y None Y

Kathleen E Callaghan, CCC-SLP

Hello Foundation, LLC, The 10300 SW Greenburg Rd

Ste 410, Portland, OR. 97223 800-813-2000

F Y None Y

Brittnee M Cleveland, MS, CCC-SLP

Speech & Play, LLC 2360 SW 170th Ave, Beaverton, OR.

97006 800-813-2000F Y None Y

Nicole Collings, CCC-SLP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Amanda W Cornelius, CCC-SLP

Happy Acorn Learning, LLC 2223 NE 47th Ave, Portland,

OR. 97213 800-813-2000F Y

American Speech-Lan-

guage-Hearing Association

None Y

Mary P Daly, MS, SLP

Progressive Rehabilitation Associates, LLC 1815 SW

Marlow Ave Ste 110, Portland, OR. 97225 800-813-2000

F Y

American Speech-Lan-

guage-Hearing Association

None Y

Julie E Doherty, MS,CCC,SLP

Progress Center, Inc 1600 3rd Ave, Longview, WA. 98632

800-813-2000F Y None Y

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Page 300 19415_9-19

Caitlin F Fitzgerald, CCC-SLP

Hello Foundation, LLC, The 10300 SW Greenburg Rd

Ste 410, Portland, OR. 97223 800-813-2000

F Y None Y

Jennifer R Getch, CCC-SLP

NW Speech Therapy, LLC - 44th Avenue 1827 NE 44th Ave Ste 130, Portland, OR.

97213 800-813-2000

F Y None Y

Jennifer R Getch, CCC-SLP

NW Speech Therapy, LLC 7902 NE St Johns Rd Ste

102A, Vancouver, WA. 98665 800-813-2000

F Y None Y

Jennifer A Greenlaw, MS

NWRA - Connect The Dots Pediatric Therapy, Inc 84 Cen-

tennial Loop, Eugene, OR. 97401 800-813-2000

F Y None Y

Barbara L Harden, CCC-SLP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Alice Jeske, CCC-SLP

Hello Foundation, LLC, The 10300 SW Greenburg Rd

Ste 410, Portland, OR. 97223 800-813-2000

F Y None Y

Ruth L Kirtner, ST

NWRA - Connect The Dots Pediatric Therapy, Inc 84 Cen-

tennial Loop, Eugene, OR. 97401 800-813-2000

F Y None Y

Sarah L Kuhrts, CCC-SLP

Hello Foundation, LLC, The 10300 SW Greenburg Rd

Ste 410, Portland, OR. 97223 800-813-2000

F Y None Y

Courtney Lackey, MS, CCC-SLP, CNDT

Speech & Play, LLC 2360 SW 170th Ave, Beaverton, OR.

97006 800-813-2000F Y

American Speech-Lan-

guage-Hearing Association

None Y

Claire C Leake, CCC-SLP

Tucker-Maxon Oral School 2860 SE Holgate Blvd, Portland, OR. 97202

800-813-2000

F Y None Y

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Page 301 19415_9-19

Marjorie Maffett, CCC-SLP

Hello Foundation, LLC, The 10300 SW Greenburg Rd

Ste 410, Portland, OR. 97223 800-813-2000

F Y

American Speech-Lan-

guage-Hearing Association

None Y

Kathryn L Main, CCC-SLP

Sensible Speech-Language Pathology, Inc 1475 Capitol

St NE, Salem, OR. 97301 800-813-2000

F Y None

Spanish; Ameri-

can Sign Language

Y

Danielle Owen, MA, SLP

Owen, Danielle, dba Portland Speech Clinic 1827 NE 44th Ave Ste 120, Portland, OR.

97213 800-813-2000

F Y None Y

Lori Pastoor, CCC-SLP

Hello Foundation, LLC, The 10300 SW Greenburg Rd

Ste 410, Portland, OR. 97223 800-813-2000

F Y None Y

Jenny Peddicord, MA, CCC-SLP

Hello Foundation, LLC, The 10300 SW Greenburg Rd

Ste 410, Portland, OR. 97223 800-813-2000

F Y None Y

Deborah M Rock, CCC-SLP

OHSU - Child Development & Rehabilitation Center - Eu-

gene 901 E 18th Ave, Eugene, OR. 97403 800-813-2000

F Y None Y

Deborah M Rock, CCC-SLP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Casey Rockmore, MA, CCC-SLP

NW Speech Therapy, LLC 7902 NE St Johns Rd Ste

102A, Vancouver, WA. 98665 800-813-2000

M Y None Y

Kerry Roediger, MS, CCC-SLP

Roediger, Kerry, dba Play-space 1923 NE Broad-

way, Portland, OR. 97232 800-813-2000

F Y None Y

Leisha M Vogl, MS, CCC-SLP

Sensible Speech-Language Pathology, Inc 1475 Capitol

St NE, Salem, OR. 97301 800-813-2000

F Y None

Spanish; Ameri-

can Sign Language;

Russian

Y

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Page 302 19415_9-19

Tal H Woodbury, MS, SLP-CC

Advanced Pediatric Thera-pies, Inc 8339 SW Beaver-

ton-Hillsdale Hwy, Portland, OR. 97225 800-813-2000

F Y None Y

Sports Medicine

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Dennis Crawford, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Clifford W Deveney, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y NoneSpanish; German

Y

James P Dolan, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

John S Donovan, MD

Willamette Ear, Nose, Throat and Facial Plastic Surgery, LLP 3099 River Rd South

Ste 150, Salem, OR. 97302 800-813-2000

M YOtolaryn-

gologyNone Y

Julie A Gilbert, MDSalem Health Professional

Services 890 Oak St SE, Sa-lem, OR. 97301 800-813-2000

F YAB Family Medicine

(MD)None Y

Jason C Gilster, MD

Inovia Bridgeport Village 7421 SW Bridgeport Ste 215, Tigard, OR. 97224

800-813-2000

M YVascular Surgery

None Y

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Page 303 19415_9-19

Lyle B Ham, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Eric Laro, MDDoctors Clinic LLP, The 5050 Skyline Village Lp S, Salem, OR. 97306 800-813-2000

M Y None Y

Timothy K Liem, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YVascular Surgery

None Y

Everett Mozell, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y None Y

Gary J Nishioka, MD

Willamette Ear, Nose, Throat and Facial Plastic Surgery, LLP 3099 River Rd South

Ste 150, Salem, OR. 97302 800-813-2000

M YOtolaryn-

gologyNone Y

Mark S Peterson, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y Allergy None Y

Brett Sheppard, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Donn Spight, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Jennifer M Watters, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Martha Wiggers, PA-C

Portland Neurosurgery, PC 9155 SW Barnes Rd Ste 836, Portland, OR. 97225

800-813-2000

F Y None Y

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Page 304 19415_9-19

Surgery, General Vascular

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Gregory J Landry, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Surgery, AB Sur-gery (Gen Vascular)

None Y

Termination of Pregnancy

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

John G Buckmaster, MD

LSC - Legacy Center for Maternal-Fetal Medicine 2101 NE 139th St Ste 360, Vancou-ver, WA. 98686 800-813-2000

M YAmerican Board

of Obstetrics and Gynecology

None Y

John G Buckmaster, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M YAmerican Board

of Obstetrics and Gynecology

None Y

John G Buckmaster, MDLovejoy Surgicenter 933 NW

25th Ave, Portland, OR. 97210 800-813-2000

M YAmerican Board

of Obstetrics and Gynecology

None Y

Nicholas L Gideonse, MD

OHSU - Richmond Health Center 3930 SE Division St, Portland, OR. 97202

800-813-2000

M Y None Y

Nicholas L Gideonse, MD

OHSU - Richmond Walk-in Clinic 4212 SE Division St

Ste 150, Portland, OR. 97206 800-813-2000

M Y None Y

Nicholas L Gideonse, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 305 19415_9-19

Therapeutic Radiology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Jerry J Jaboin, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YRadiation Oncology

None Y

Thoracic & Cardiovasular Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Angela Petroff, PA-C

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Paul H Schipper, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Thoracic Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Nervin Fanous, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F YAB Thoracic Surgery,

AB Surgery (Surg Critical Care)

NoneFrench; Arabic

Y

Harkness S Floten, MD

Starr-Wood Cardiac Group of Portland, PC 9155 SW Barnes

Rd Ste 240, Portland, OR. 97225 800-813-2000

M YGeneral Surgery

AB Thoracic Surgery None Y

John P Iguidbashian, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YCardio-vascular Surgery

AB Surgery, AB Tho-racic Surgery

None Y

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Page 306 19415_9-19

Juan R Oyarzun, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

M Y AB Thoracic Surgery None Y

Transplant Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Erin C Maynard, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Susan L Orloff, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Spanish Y

David L Scott, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Traumatic Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Kristy M Aghayan, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Karen J Brasel, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YAB Surgery, AB

Surgery (Surg Critical Care)

None Y

Albert Chi, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Surgery, AB

Surgery (Surg Critical Care)

None Y

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Page 307 19415_9-19

Staci L Colovos, ACNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Rebecca S Garcia, FNP

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Arvin C Gee, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Surgery, AB

Surgery (Surg Critical Care)

None Y

Alexis M Moren, MD

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

Khaled Pharaon, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M YAB Surgery (Surg

Critical Care)None Y

Mitchell Sally, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y AB Surgery None Y

Vance Y Sohn, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M Y AB Surgery None Y

Philbert Y Van, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Surgery, AB

Surgery (Surg Critical Care)

None Y

Elizabeth Windell, DO

Willamette Valley Profes-sional Services, Inc 890 Oak

St SE, Salem, OR. 97301 800-813-2000

F Y None Y

David H Zonies, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Surgery, AB

Surgery (Surg Critical Care)

None Y

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Page 308 19415_9-19

Urological Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Christopher L Amling, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Jen-Jane Liu, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

F Y None

Spanish; Mandarin (Chinese dialect)

Y

Kamran P Sajadi, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Urology

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

James C Austin, MD

OHSU - Doernbecher Special-ty Pediatrics Westside 15220

NW Laidlaw Ste 102, Portland, OR. 97229 800-813-2000

M YAB Urology, AB

PediatricsNone Y

James C Austin, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Urology, AB

PediatricsNone Y

John M Barry, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Jaffer H Bashey, MDWillamette Urology, PC 2973 12th St SE, Salem, OR. 97302

800-813-2000M Y AB Urology None Y

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Page 309 19415_9-19

Dawn M Bodell, DO

Oregon Urology Institute, PC 2400 Hartman Ln Ste

200, Springfield, OR. 97477 800-813-2000

F Y None Y

Kevin M Brandt, PA-C

Oregon Urology Institute, PC 2400 Hartman Ln Ste

200, Springfield, OR. 97477 800-813-2000

M Y None Y

Mark R Carson, MD

Oregon Urology Institute, PC 2400 Hartman Ln Ste

200, Springfield, OR. 97477 800-813-2000

M Y AB Urology None Y

Michael J Conlin, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y AB Urology None Y

Nina Davis, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y AB Urology None Y

Daniel D Dugi, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Spanish Y

Brian D Duty, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

David Elkins, MDWillamette Urology, PC 2973 12th St SE, Salem, OR. 97302

800-813-2000M Y AB Urology None Y

Genoa G Ferguson, MD

Oregon Urology Institute, PC 2400 Hartman Ln Ste

200, Springfield, OR. 97477 800-813-2000

F Y AB Urology None Y

Mark G Garzotto, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

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Page 310 19415_9-19

Jason C Hedges, MD

OHSU - Center for Health and Healing Clinics 3303

SW Bond Ave, Portland, OR. 97239 800-813-2000

M Y None Y

Douglas G Hoff, MD

Oregon Urology Institute, PC 2400 Hartman Ln Ste

200, Springfield, OR. 97477 800-813-2000

M Y AB Urology None Y

Theresa Koppie, MDWillamette Urology, PC 2973 12th St SE, Salem, OR. 97302

800-813-2000F Y AB Urology None Y

Christopher C Kyle, MD

Oregon Urology Institute, PC 2400 Hartman Ln Ste

200, Springfield, OR. 97477 800-813-2000

M Y AB Urology None Y

Jessica C Lloyd, MD

Oregon Urology Institute, PC 2400 Hartman Ln Ste

200, Springfield, OR. 97477 800-813-2000

F Y None Y

Erika McCarthy, PA-CWillamette Urology, PC 2973 12th St SE, Salem, OR. 97302

800-813-2000F Y None Y

John M Mhoon, MDWillamette Urology, PC 2973 12th St SE, Salem, OR. 97302

800-813-2000M Y AB Urology None Y

Casey A Seideman, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None Y

Reta L Vining, APRN, BC

Oregon Urology Institute, PC 2400 Hartman Ln Ste

200, Springfield, OR. 97477 800-813-2000

F Y None Y

Megan K Ward, PA

OHSU - Orthopedics Cor-nell West 1500 NW Bethany Blvd Ste 195, Beaverton, OR.

97006 800-813-2000

F Y None Y

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Page 311 19415_9-19

Megan K Ward, PA

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F Y None Y

Bradley W Warner, MDWillamette Urology, PC 2973 12th St SE, Salem, OR. 97302

800-813-2000M Y AB Urology None Y

Angela E Watson, PA-C

Oregon Urology Institute, PC 2400 Hartman Ln Ste

200, Springfield, OR. 97477 800-813-2000

F Y None Y

Jeffrey Woldrich, MD

Portland Clinic The, LLP - East Medical Office 541 NE 20th Ave Ste 210, Portland, OR.

97232 800-813-2000

M Y AB Urology None Y

Jeffrey Woldrich, MD

Portland Clinic The, LLP - Northeast Office 5005 NE Sandy Blvd, Portland, OR.

97213 800-813-2000

M Y AB Urology None Y

Jeffrey Woldrich, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

M Y AB Urology None Y

Jeffrey Woldrich, MD

Portland Clinic The, LLP - Ti-gard Medical Office 9250 SW Hall Blvd, Tigard, OR. 97223

800-813-2000

M Y AB Urology None Y

Jeffrey B Woolsey, MD

Oregon Urology Institute, PC 2400 Hartman Ln Ste

200, Springfield, OR. 97477 800-813-2000

M Y AB Urology None Y

Ehud I Zusman, MD

Portland Clinic The, LLP - Portland Downtown Office 800 SW 13th Ave, Portland, OR. 97205 800-813-2000

M Y AB Urology None Y

Ehud I Zusman, MD

Portland Clinic The, LLP - Ti-gard Medical Office 9250 SW Hall Blvd, Tigard, OR. 97223

800-813-2000

M Y AB Urology None Y

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Page 312 19415_9-19

Vascular Surgery

Provider Name Credential Contact Information Gender

Accepting New

MembersSecondary Specialty Certification Hospital Affiliations

Languages other than

EnglishReferral

Required

Cherrie Z Abraham, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M Y None French Y

Amir F Azarbal, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Surgery (Gen

Vascular)None Y

Marcos F Barnatan, MD

LSC - Salmon Creek Vascular Clinic 2101 NE 139th St Ste 250, Vancouver, WA. 98686

800-813-2000

M YAB Surgery (Gen

Vascular)None Spanish Y

Marcos F Barnatan, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M YAB Surgery (Gen

Vascular)None Spanish Y

Erin S Bolken, PA-C

Wiest, John W MD DBA Vas-cular Specialists, PC 9155 SW Barnes Rd Ste 321, Portland,

OR. 97225 800-813-2000

F Y None Y

Atish Chopra, MDSalem Health Professional

Services 890 Oak St SE, Sa-lem, OR. 97301 800-813-2000

M Y AB Surgery None Y

Richard B Cook, MD

Wiest, John W MD DBA Vas-cular Specialists, PC 9155 SW Barnes Rd Ste 321, Portland,

OR. 97225 800-813-2000

M YAB Surgery (Gen Vas-

cular), AB SurgeryNone Y

Julie L Cramer, PA-C

Advanced Vascular Thera-py, LLC 2480 Liberty St NE Ste 110, Salem, OR. 97301

800-813-2000

F Y None Y

Beejay A Feliciano, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M YAB Surgery (Gen

Vascular)None Y

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Page 313 19415_9-19

Matthew I Foley, MD

LSC - Salmon Creek Vascular Clinic 2101 NE 139th St Ste 250, Vancouver, WA. 98686

800-813-2000

M YAB Surgery (Gen

Vascular)None Y

Matthew I Foley, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M YAB Surgery (Gen

Vascular)None Y

George S Fortner, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M YAB Surgery (Vascular Surgery), AB Surgery

None Y

Joslyn Gibson, PA

LSC - Salmon Creek Vascular Clinic 2101 NE 139th St Ste 250, Vancouver, WA. 98686

800-813-2000

F Y None Y

Joslyn Gibson, PA

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Judah Gold-Markel, PA-C

LSC - Salmon Creek Vascular Clinic 2101 NE 139th St Ste 250, Vancouver, WA. 98686

800-813-2000

M Y None Spanish Y

Judah Gold-Markel, PA-C

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M Y None Spanish Y

Kimberly C Grady, PA-C

Wiest, John W MD DBA Vas-cular Specialists, PC 9155 SW Barnes Rd Ste 321, Portland,

OR. 97225 800-813-2000

F Y None Y

Carber C Huang, MD

LSC - Salmon Creek Vascular Clinic 2101 NE 139th St Ste 250, Vancouver, WA. 98686

800-813-2000

M YVascular Surgery

AB Surgery (Vascular Surgery)

NoneChinese

(General)Y

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Page 314 19415_9-19

Carber C Huang, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M YVascular Surgery

AB Surgery (Vascular Surgery)

NoneChinese

(General)Y

Morgan S Huey, PA-C

LSC - Salmon Creek Vascular Clinic 2101 NE 139th St Ste 250, Vancouver, WA. 98686

800-813-2000

F Y None Y

Morgan S Huey, PA-C

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Enjae Jung, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

F YAB Surgery (Gen Vas-

cular), AB SurgeryNone Korean Y

Katherine Kinser, PA-CSalem Health Bldg B 665 Win-

ter St SE Bldg B, Salem, OR. 97301 800-813-2000

F Y None Y

Robert B McLafferty, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Surgery (Gen Vas-

cular), AB SurgeryNone Y

Gregory Moneta, MD

OHSU Medical Group 3181 SW Sam Jackson Park

Rd, Portland, OR. 97239 800-813-2000

M YAB Surgery (Gen Vas-

cular), AB SurgeryNone Y

Alexander D Nicoloff, MD

LSC - Salmon Creek Vascular Clinic 2101 NE 139th St Ste 250, Vancouver, WA. 98686

800-813-2000

M YAB Surgery (Gen

Vascular)None Spanish Y

Alexander D Nicoloff, MD

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

M YAB Surgery (Gen

Vascular)None Spanish Y

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Page 315 19415_9-19

Kimberly M Pizarek, PA-C

LSC - Salmon Creek Vascular Clinic 2101 NE 139th St Ste 250, Vancouver, WA. 98686

800-813-2000

F Y None Y

Kimberly M Pizarek, PA-C

Legacy Salmon Creek Hospi-tal DBA Legacy Salmon Creek

Providers 2211 NE 139th St, Vancouver, WA. 98686

800-813-2000

F Y None Y

Glen S Roseborough, MD

Advanced Vascular Thera-py, LLC 2480 Liberty St NE Ste 110, Salem, OR. 97301

800-813-2000

M YAB Surgery (Gen Vas-

cular), AB SurgeryNone Y

Glen S Roseborough, MDSalem Hospital 890 Oak St SE, Salem, OR. 97301

800-813-2000M Y

AB Surgery (Gen Vas-cular), AB Surgery

None Y

Desarom Teso, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

M YAB Surgery (Gen Vas-

cular), AB SurgeryNone Y

Yolanda L Vea, MD

PeaceHealth Medical Group - Lower Columbia 1615

Delaware St, Longview, WA. 98632 800-813-2000

F YAB Surgery (Gen Vas-

cular), AB SurgeryNone Tagalog Y

John W Wiest, MD

Wiest, John W MD DBA Vas-cular Specialists, PC 9155 SW Barnes Rd Ste 321, Portland,

OR. 97225 800-813-2000

M YAB Surgery (Gen Vas-

cular), AB SurgeryNone Y

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