Rachel Kosek
Physician Assistant โข Bend, OR
2200 Ne Neff Rd Ste 200
Bend, OR 977014281
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on December 28, 2020; this date does not establish years in practice.
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Published CMS data list 329 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 88 service units.
- 99214 โ Established patient outpatient office visit: 85 service units.
- 99442 โ Telephone medical discussion with physician: 55 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 8 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 530 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Oxycodone Hcl โ 136 prescription fills, including refills.
- Gabapentin โ 79 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 59 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 10 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Bend, OR (2024, 143 clinicians with data). Median for this group: 368. Middle half: 138 to 1,481.
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: 218. Middle half: 98 to 498.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 30 in 2021 to 329 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2024.
Practice Location & Contact Primary Location
2200 Ne Neff Rd Ste 200
Bend, OR 977014281
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Detroit, MI. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Northwest Medical Specialist Llc; St Charles Health System Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2021
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
283 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $28,420 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $21,135 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
546 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$4,157 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $703.11 across 27 records.
By nature of payment
- Food and Beverage: $703.11 across 27 records.
Reporting-company totals (3 largest of 4)
- Boston Scientific Corporation: $350.39 across 6 records.
- Globus Medical, Inc.: $184.98 across 18 records.
- Biocomposites Inc: $136.61 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
5 years (graduated 2021)
CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2020
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Rachel Kosek has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Rachel Kosek as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Bend and Oregon
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physician Assistant in Bend, OR (2024, 143 clinicians with data). Median for this group: 368. Middle half: 138 to 1,481.
More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: 218. Middle half: 98 to 498.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Bend, OR (2024, 143 clinicians with data). Median for this group: $30,677. Middle half: $12,772 to $72,713.
A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: $15,959. Middle half: $7,110 to $33,008.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Bend, OR (2024, 143 clinicians with data). Median for this group: $22,425. Middle half: $9,329 to $52,415.
A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Oregon (2024, 1,144 clinicians with data). Median for this group: $11,156. Middle half: $5,029 to $23,443.
Medicare Part D prescriptions
More Part D prescriptions than 60% of clinicians listed under Physician Assistant in Bend, OR (2024, 137 clinicians with data). Median for this group: 425. Middle half: 90 to 872.
More Part D prescriptions than 60% of clinicians listed under Physician Assistant in Oregon (2024, 1,336 clinicians with data). Median for this group: 340. Middle half: 96 to 1,131.
Part D drug cost
A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Bend, OR (2024, 137 clinicians with data). Median for this group: $8,977. Middle half: $1,290 to $60,754.
Close to the middle for clinicians listed under Physician Assistant in Oregon (2024, 1,336 clinicians with data). Median for this group: $8,538. Middle half: $984 to $101,656.
186 active clinicians are listed under Physician Assistant with a practice address in Bend, OR (2,095 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Bend
29% of these 186 clinicians have the CMS telehealth indicator.
81.7% of these 186 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 997% from 30 in 2021 to 329 in 2024.
- 2021: 30
- 2022: 372
- 2023: 283
- 2024: 329
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Medicare-allowed amount
Medicare-allowed amount increased 786% from $3,207 in 2021 to $28,420 in 2024.
- 2021: $3,207
- 2022: $31,689
- 2023: $21,853
- 2024: $28,420
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Paid by Medicare
Paid by Medicare increased 752% from $2,480 in 2021 to $21,135 in 2024.
- 2021: $2,480
- 2022: $22,996
- 2023: $16,359
- 2024: $21,135
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 110% from 252 in 2022 to 530 in 2024.
- 2022: 252
- 2023: 348
- 2024: 530
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30-day fills
30-day fills increased 106% from 265 in 2022 to 546 in 2024.
- 2022: 265
- 2023: 350
- 2024: 546
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Part D drug cost
Part D drug cost increased 87% from $2,220 in 2022 to $4,157 in 2024.
- 2022: $2,220
- 2023: $2,254
- 2024: $4,157
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $32.25 in 2021 to $703.11 in 2025.
- 2021: $32.25
- 2022: $144.64
- 2023: $323.90
- 2024: $633.51
- 2025: $703.11
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 27 records totaling $703.11.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Biocomposites Inc |
Food and Beverage
Cash or cash equivalent
|
Stimulan | General | $136.61 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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General - Therapies | General | $133.60 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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General - Pain Management | General | $84.43 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Pain Management | General | $57.15 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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General - Pain Management | General | $35.85 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Therapies | General | $34.36 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $17.71 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $16.67 |
| MIMEDX Group, Inc. |
Food and Beverage
In-kind items and services
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โ | General | $16.31 |
| MIMEDX Group, Inc. |
Food and Beverage
In-kind items and services
|
โ | General | $14.82 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $14.53 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $13.22 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $12.47 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
ALLOCATE | General | $11.63 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $11.03 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $10.86 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $9.03 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $8.79 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $8.74 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $8.48 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $8.24 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $7.68 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $7.05 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $6.75 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $6.08 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2021โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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88 | 80 | $219.12 | $74.43 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
85 | 77 | $323.24 | $104.69 |
|
99442
Telephone medical discussion with physician, 11-20 minutes
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55 | 47 | $76.00 | $74.12 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
29 | 29 | $327.60 | $91.16 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
21 | 21 | $497.28 | $136.64 |
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99231
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
|
19 | 11 | $111.24 | $39.61 |
|
63047
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
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16 | 16 | $1918.59 | $140.64 |
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63048
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
|
16 | 11 | $329.13 | $23.71 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 136 | 1,208 | $916.27 | 88 |
| Gabapentin | Gabapentin | 79 | 2,580 | $1,017.65 | 27 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 59 | 599 | $499.36 | 31 |
| Pregabalin | Pregabalin | 58 | 2,010 | $773.34 | 32 |
| Alprazolam | Alprazolam | 50 | 56 | $35.90 | 46 |
| Methocarbamol | Methocarbamol | 43 | 585 | $224.34 | 39 |
| Tramadol Hcl | Tramadol Hcl | 39 | 417 | $222.77 | 24 |
| Methylprednisolone | Methylprednisolone | 36 | 217 | $257.80 | 36 |
| Hydromorphone Hcl | Hydromorphone Hcl | 18 | 122 | $104.05 | 13 |
| Tizanidine Hcl | Tizanidine Hcl | 12 | 164 | $105.52 | 12 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-11-04NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20211020002553
OR
0648668863
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
St Charles Health System Inc
2500 Ne Neff Rd, Bend, OR 977016015
Phone: 5417067715
Northwest Medical Specialist Llc
2115 Ne Wyatt Ct, Bend, OR 977017680
Phone: 5415852400220
St Charles Health System Inc
211 Nw Larch Ave, Redmond, OR 977561357
Phone: 5415482164
St Charles Health System Inc
2500 Ne Neff Rd, Bend, OR 977016015
Secondary Practice Locations
259 Mack Ave
Detroit, MI 482012427
Phone: 5866510704
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Orthopaedic Surgery - Orthopaedic Trauma
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Orthopaedic Surgery - Sports Medicine
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Foot and Ankle Surgery
Doctor of Osteopathic Medicine (D.O.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2200 NE NEFF RD STE 200, BEND, OR 977014281 (Tel: 5413823344)
Physician Assistant (license number reported to NPPES: MI 5601010590)
NPI status registered as active in NPPES database
Registered at 259 MACK AVE, DETROIT, MI 482012427 (Tel: 5866510704)
Registered at 80685 HOLMES RD, ARMADA, MI 480051126 (Tel: 5866510704)
Recorded as RACHEL KOSEK
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Bend
- Shelley Maurice-Maier, PHYSICIAN ASSISTANT
- Larry Weber, PA
- Darlene Nastansky, PA-C
- Jeanne Wadsworth, PA-C
- Adam Short, PA-C
- Bradley Scott, PA-C
More public profiles in Oregon
Directory navigation, in NPI number order.
- Loretta Sandoval, RN, CNM Nurse Practitioner - Obstetrics & Gynecology ยท Medford
- Jamie Tigner, PA-C Physician Assistant ยท Bend
- Susan Bishop, LCSW Social Worker - Clinical ยท Forest Grove
- Derek Zickgraf, DO Family Medicine ยท Baker City
- Tami Miller, PHARMDRPH Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist ยท Klamath Falls
- Kimberly Foster, ND Naturopath ยท Eugene
- Ami Bear, MD Pediatrics ยท Eugene
- Cassie Ryan-Mapolski, PA-C Physician Assistant ยท Portland
- Mark Villanueva, DDS Dentist - General Practice ยท Portland
- Alex Bahrke, CRNA Nurse Anesthetist, Certified Registered ยท Silverton
- Lauren Ciolli, PA-C Physician Assistant ยท Portland
- Patrick Gallaher, RPH, MBA, MPH Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist ยท Beaverton
Mailing Address
80685 Holmes Rd
Armada, MI 480051126
Phone: 5866510704