Participating and Select Provider directoryCare Essentials - Pearl 1045 NW Northrup St Portland, OR. 97209 503-813-2000. Provider Name Credential Gender Accepting New Members Specialty

PARTICIPATING AND SELECT PROVIDER DIRECTORYTHIS 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 DF E B R U A R Y

2 0 2 1

Listed providers are part of Northwest Permanente, P.C., Physicians and Surgeons, or Kaiser Foundation Health Plan of the Northwest. 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 the 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.

Kaiser Permanente providers complete accredited cultural competency training.

Oregon Medicaid members: For information about Ride to Care, call 503-416-3955, toll free at 855-321-4899 or visit ridetocare.com.

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.

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

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. You must have a written, authorized referral from Kaiser Foundation Health Plan of the Northwest to receive a covered service from an affiliated community physician/provider.*

COVID-19 Update: To help ensure the safety of our members, staff, and community, we may need to temporarily close or limit in-person services at some of our medical and dental facilities. You can still get the care you need, including in-person emergency care, e-visits, phone or video visits, and more.

For the most up to date information please visit kp.org/coronavirus.

* To view or download the Affiliated Provider Directory go to kp.org/directory/nw. If you do not haveInternet access or would like a printed copy of our Affiliated Provider Directory, please call Member Services from 8 a.m. to 6 p.m., Monday through Friday, at 1-800-813-2000. For TTY, call 711. Forlanguage interpretation services, call 1-800-324-8010.

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

19414_02-21

http://www.kp.orghttp://ridetocare.com/http://www.kp.org/webmanagerhttp://kp.org/coronavirushttp://www.kp.org/directory/nw

Accessibility of medical offices and medical centers in this directory

All Kaiser Permanente facilities are accessible to members.

For members enrolled through the Federal Employees Health Benefits (FEHB) program

It is important to know that when you enroll in this Plan, services are provided through the Plan’s delivery system as described in the Plan’s federal brochure, but the continued participation of any one doctor, hospital, or other provider cannot be guaranteed.

All NWPMG physicians/providers 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/getcare 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.

http://www.kp.org/getcarehttp://www.kp.org

Provider selection criteriaKaiser 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 criteriaKaiser 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.

http://www.kp.orghttp://www.chpgroup.comhttp://www.kp.org/addedchoicehttp://www.abms.org/member-boards/specialty-subspecialty-certificates/http://www.abms.org/member-boards/specialty-subspecialty-certificates/https://www.ama-assn.org/https://www.osteopathic.org/

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 February 2021. For the most up-to-date information, visit kp.org.19414_02-21

http://www.kp.org

19414_02-21

Advanced Gastroenterology2415 NE 134th St Ste 205Vancouver, WA. 98686800-813-2000

Provider Name Credential Gender

Accepting New

Members Specialty Board Certification Hospital AffiliationsReferral

Required

Languages other than

EnglishAccepts

MedicareAccepts

Medicaid

Chinar S Mehta, MD

M YGastroenter-

ology

American Board of Internal Medicine

(Gastroenterol

Kaiser Permanente Sunny-side Medical Center; Kaiser

Permanente Westside Medical Center

May be required

Y N

Jaclyn M Thobaben, PA-C

F YGastroenter-

ology

National Commission on Certification of Phys

Assis



May be required

Y Y

Qing Yu, MD M YGastroenter-

ology

American Board of In-ternal Medicine; Amer-ican Board of Internal

Medicine (Gastroenterol



May be required

Y N

Battleground Medical Offices720 W Main St Ste 15Battleground, WA. 98604800-813-2000


Accepting New


Required


EnglishAccepts

MedicareAccepts

Medicaid

Cynthia A Carlson, MD

F YFamily

MedicineAmerican Board of Fam-

ily MedicineNone

Not required

Y N

Rachael M Dyer, MD

F YFamily


ily MedicineNone

Not required

Y N

Krista A Letsch, PA-C

F NFamily

Medicine


AssisNone

Not required

Y N

Damilola E Olupona, DO

F YFamily

Medicine

American Board of Fam-ily Medicine; American Osteopathic Board of

Family Practice

NoneNot

requiredY N

19414_02-21

Battleground Medical Offices720 W Main St Ste 15Battleground, WA. 98604855-632-8280


Accepting New


Required


EnglishAccepts

MedicareAccepts

Medicaid

Ann F Lauritsen, LCSW

F YMental Health

Not Applicable NoneNot

requiredY N

Beaverton Medical/Dental Offices4855 SW Western AveBeaverton, OR. 97005800-813-2000


Accepting New


Required


EnglishAccepts

MedicareAccepts

Medicaid

Tovi M Anderson, MD

F YFamily


ily Medicine


Permanente Westside Medical Center; Legacy Salmon Creek

Medical Center

Not required

Y Y

Jennifer L Bass, MD

F Y PediatricsAmerican Board of

Pediatrics


Permanente Westside Medical Center; OHSU/Doernbecher

Childrens

Not required

Y Y

Mihaela Beloiu, MD

F YFamily


ily MedicineNone

Not required

Y Y

Kelly D Block, MD F YInternal

MedicineAmerican Board of Internal Medicine

NoneNot

requiredY Y

Cynthia D Caraballo-Hunt, MD

F YFamily


ily MedicineNone

Not required

Y Y

Teresa S Chen, OD

F Y Optometry Not Applicable NoneNot

requiredY Y

Michael E Curtin, MS

M YHospice/

Home HealthNone

May be required

Y N

19414_02-21

Nanette I Curtis, OD


requiredY Y

Dawn M Damori, OD


requiredY N

Page Y Dardis, MD

F YInternal




Not required

Y Y

Debra K Davis, MD

F YFamily


ily MedicineNone

Not required

Y Y

Juan Miguel A Dela Cruz, MD

M YFamily


ily MedicineNone

Not required

Y Y

Danielle Desrochers, MD

F YFamily


ily MedicineNone

Not required

Y Y

Susan B Dimin, FNP

F NFamily

MedicineAmerican Nurses Cre-

dentialing CenterNone

Not required

Y Y

Jennifer J Donohue, MD

F YFamily


ily MedicineNone

Not required

Y Y

Gerald A Dunlap, MD

M YInternal


NoneNot

requiredY Y

Hannah E Edwards, MD, MPH

F YOccupation-al Medicine

American Board of Fam-ily Medicine; American

Board of Preventive Medicine (Occupationa

NoneNot

requiredY Y

Danielle L Gessford, RD LD

F Y Nutrition NoneMay be

requiredY N

Dia Hazra, MD F Y PediatricsAmerican Board of

PediatricsNone

Not required

Y Y

Jeannine S Johnson, MD

F N PediatricsAmerican Board of

PediatricsNone

Not required

Y Y

Sharon L Kenny, MD

F NInternal


NoneNot

requiredY Y

Ramu R Kotamarti, MD

M YInternal


NoneNot

requiredY N

Marcy G Lake, DO F YFamily


ily Medicine



Medical Center

Not required

Y Y

19414_02-21

Nicole J Laske, OD


requiredY Y

Suzette S Leonard, OD


requiredY Y

Moira B Lieberson, PT

F YHospice/

Home HealthNone

May be required

Y N

Jill C Lobingier, OD


requiredY N

Ryan D Manns, MD

M YFamily


ily MedicineNone

Not required

Y Y

Lyndsey McCartney, MD

F YFamily


ily MedicineNone

Not required

Y Y

Bina Mehta, MD F Y PediatricsAmerican Board of

PediatricsNone

Not required

Y Y

Kara W Morris, SLP.D

F YHospice/

Home HealthNone

May be required

Y N

Jennifer E Mueller, MD

F YFamily


ily MedicineNone

Not required

Y Y

Quoc H Nguyen, DO, MPH

M Y PediatricsAmerican Board of

Pediatrics



Not required

Y Y

Robert W Peterson, MD

M N PediatricsAmerican Board of

PediatricsNone

Not required

Y Y

Bichson T Pham, DO

F YFamily


ily MedicineNone

Not required

Y Y

Thongphanh Phanthavady, MD

M YFamily


ily Medicine



Not required

Y Y

Madhu M Potla, MD

F YInternal


NoneNot

requiredY Y

Rachelle L Preston, LCSW

F YHospice/

Home HealthNone

May be required

Y N

Anitha Raj, MD F YInternal


NoneNot

requiredY Y

Shobana Rajagopal, MD

F YFamily


ily MedicineNone

Not required

Y Y

19414_02-21

Kerry J Rasmussen, MD

F NFamily


ily MedicineNone

Not required

Y Y

John R Reichle, MD

M YOccupation-al Medicine

American Board of Preventive Medicine

(OccupationaNone

Not required

Y Y

Alise N Roberson, OD


requiredY Y

Erin F Ryan, MD F Y PediatricsAmerican Board of

PediatricsNone

Not required

Y Y

Robert J Saldivar, MD

M YFamily


ily MedicineNone

Not required

Y Y

Elizabeth T Sass, OD


requiredY Y

Arfassa Shiferaw, MD

F YFamily


ily MedicineNone

Not required

Y Y

Abigail Silao, PT F YHospice/

Home HealthNone

May be required

Y N

James M Snell, OD

M Y Optometry Not Applicable NoneNot

requiredY N

Eileen Sparks, RD F Y Nutrition NoneMay be

requiredY N

Paul M Stasik, OD M Y Optometry Not Applicable NoneNot

requiredY Y

Oscar A Stiennon IV, PT

M YHospice/

Home HealthNone

May be required

Y N

Brian S Sturgill, MSPT

M YHospice/

Home HealthNone

May be required

Y N

Chynna R Tang, OD


requiredY N

Cesareo Amadeo U Tongco II, MD

M YFamily

Medicine

American Board of Family Medicine (Sports

Medicine; Ameri-can Board of Family

Medicine

NoneNot

requiredY Y

Stephen M Wanta, MD


PediatricsKaiser Permanente Westside

Medical CenterNot

requiredY Y

Samuel I Wasmann, MD

M YInternal


NoneNot

requiredY Y

19414_02-21

Jonathan D Wildi, MD

M YFamily


ily Medicine



Medical Center

Not required

Y Y

Beaverton Medical/Dental Offices4855 SW Western AveBeaverton, OR. 97005855-632-8280


Accepting New


Required


EnglishAccepts

MedicareAccepts

Medicaid

Carolyn D Morris, PMHNP

F YMental Health

American Nurses Cre-dentialing Center

NoneNot

requiredY N

Tiffani A O’Neill, LPC

F YMental Health


requiredY N

Brookside Medical Center10180 SE Sunnyside RdClackamas, OR. 97015855-632-8280


Accepting New


Required


EnglishAccepts

MedicareAccepts

Medicaid

Wren C Anderson, CSW

F NMental Health

Not Applicable



Not required

Y N

Douglas L Beal, NP

M YAddiction Medicine

American Nurses Credentialing Center;

National Certifica-tion Commission for

Acupuncture



Not required

Y N

Sharon K Bettis, LPC

F NAddiction Medicine

NoneNot

requiredY N

19414_02-21

Jerrod D Boles, CADC I

M NMental Health

Not Applicable



Not required

Y N

Anna R Coleman, LCSW


Not Applicable



Not required

Y N

Sean P Glass, MD M NMental Health

American Board of Psychiatry and Neurol-ogy (Psychi; American

Board of Psychiatry and Neurology (Psycho



Not required

Y N

Debrin P Goubert, MD

F NMental Health

American Board of Psy-chiatry and Neurology

(Psychi



Not required

Y N

Michael D Grant, CADC II

M NAddiction Medicine

Addiction Counselor Certification Board of

Oregon



Not required

Y N

Jennifer J Grever, CADC II


NoneNot

requiredY N

Corinna R Hayes, LPC

F NMental Health


requiredY N

Daniel Hazen, CADC II

M NMental Health

NoneNot

requiredY N

Lawrence Hipshman, MD, MPH

M NMental Health


(Psychi



Not required

Y N

Sunny A Hunter, LPC

F NMental Health

Not ApplicableKaiser Permanente Sunnyside

Medical CenterNot

requiredY N

James M Hussey, LPC

M NMental Health


requiredY N

Jenna A Johnson, LPC

F NMental Health


Medical CenterNot

requiredY N

Julie L Lerwick, PhD

F NMental Health

Not Applicable



Not required

Y N

19414_02-21

Kyle L Malin, CADC I


Not Applicable



Not required

Y N

James M Mol, PhD

M NMental Health


(Clinic



Not required

Y N

Sonia U Munoz, MD

F NMental Health


(Psychi



Not required

Y N

Heather R Nordeen, LPC


Certified Alcohol Drug Counselor I; Certified

Alcohol Drug Counsel-or I



Not required

Y N

Erin M O’Reilly, LCSW

F NMental Health

Not Applicable



Not required

Y N

Victor C Panza III, CADC I


Not Applicable



Not required

Y N

Timothy J Peters, LCSW

M NMental Health


requiredY N

Amy L Pfunder, LICSW

F NMental Health


requiredY N

Katie S Richley, LCSW


Not Applicable



Not required

Y N

Braydon Robbins, CADC I

M NMental Health

Certified Alcohol Drug Counselor II

NoneNot

requiredY N

David S Runestrand, CADC I


NoneNot

requiredY N

Ervin R Siverson, LCSW



Medical CenterNot

requiredY N

19414_02-21

Lindsay A Spina, LPC

F NMental Health

Not Applicable



Not required

Y N

Elissa L Starks, CADC I


National Board for Cer-tified Counselors



Not required

Y N

Christopher M Starr, MD

M NMental Health


(Psychi



Not required

Y N

Kimberly M Stetson, MA


Not Applicable



Not required

Y N

Joseph T Stevens, CADC I


NoneNot

requiredY N

Noah C Stroup, CADC I


NAADAC Certification Commission



Not required

Y N

Maya Trook, CADC I


NoneNot

requiredY N

Allen R Verelley, CADC I


NoneNot

requiredY N

Darienne M Veri, LPC

F NMental Health


requiredY N

Cynthia J Veum, CADC I

F NMental Health


requiredY N

Anita S Vinson, LPC



Medical CenterNot

requiredY N

Zhenni Wang, MD F NMental Health


(Psychi



Not required

Y N

Ashlee J Whitehead, LPC


Not Applicable



Not required

Y N

19414_02-21

Miranda J Whitehead, LMFT

F NMental Health

Not Applicable



Not required

Y N

William H Williams III, CADC I


NoneNot

requiredY N

Cascade Park Medical Offices12607 SE Mill Plain BlvdVancouver, WA. 98684800-813-2000


Accepting New


Required


EnglishAccepts

MedicareAccepts

Medicaid

Michael S Alberts, MD, PhD

M YGeneral Surgery

American Board of Surgery



May be required

Y N

Margie U Apacible, MD

F YFamily


ily MedicineNone

Not required

Y N

Erika M Barbero, MD

F YInternal

Medicine

American Board of In-ternal Medicine (Hospi-

tal MediNone

Not required

Y N

Bennett E Barch, MD

M YOtolaryngol-

ogyAmerican Board of

Otolaryngology



Medical Center

May be required

Y Y

Jennifer L Bard, MD

F NFamily


ily MedicinePeaceHealth St. John Medical

Center-LongviewNot

requiredY N

Claudene M Baska, RRT

F YSleep

MedicineNone

May be required

Y N

Milenna D Bell, PA-C

F YFamily

Medicine


AssisNone

Not required

Y N

Sara E Bell, MD F N PediatricsAmerican Board of

PediatricsNone

Not required

Y N

Nicolette I Bembenek, MD

F YFamily


ily MedicineNone

Not required

Y Y

19414_02-21

Erica E Benthin, MD

F YPediatric Newborn

Care

American Board of Pediatrics



Medical Center

May be required

Y Y

Barbara M Berger, OD


requiredY N

Bhavini B Bhavsar, MD, MPH

F YEndocrinol-

ogy


(Endocrinology; Amer-ican Board of Internal

Medicine



May be required

Y Y

Caroline F Bolzendahl, FNP

F NFamily



Not required

Y N

Margaret C Bower, MD

F YGeneral Surgery




May be required

Y Y

Melissa L Burchett, CPNP

F N PediatricsNational Certification

Board of Pediatric Nurse Pr

NoneNot

requiredY N

Daniel E Carl, MD M Y NephrologyAmerican Board of Internal Medicine

(Nephrology)



Medical Center

May be required

Y N

Francisco M Chan Jr, MD

M NFamily


ily MedicineNone

Not required

Y N

Po-Shen Chang, MD

M NFamily



Center-LongviewNot

requiredY N

Ryan D Clay, MD M Y Pulmonology


(Pulmonary Dis; Amer-ican Board of Internal

Medicine (Critical Care; American Board of Internal Medicine



Medical Center

May be required

Y N

Cynthia W Colven, MD

F YFamily


ily MedicineNone

Not required

Y N

19414_02-21

Gene R Conley, MD

M NInternal




Not required

Y N

Emily J Costa, MD F N PediatricsAmerican Board of

PediatricsLegacy Salmon Creek Medical

CenterNot

requiredY N

Briana M Cranmer, MD, MPH

F YFamily


ily MedicineNone

Not required

Y N

Justin D Curran, PA-C

M YFamily

Medicine


AssisNone

Not required

Y N

Nadia A Davis, MD

F NInternal


NoneNot

requiredY N

Heather N De Jesus, MD

F NFamily


ily MedicineNone

Not required

Y N

Amor Y De la Cruz, MD

F NFamily


ily MedicineNone

Not required

Y N

Tina L Diehl, OD F Y OptometryAmerican Board of

OptometryNone

Not required

Y N

Huy T Do, OD M Y Optometry Not Applicable NoneNot

requiredY N

Matthew A Dowell, PA-C

M YGeneral Surgery


Assis



May be required

Y Y

Carol Y Endo, MD F Y PediatricsAmerican Board of

Pediatrics



Medical Center

Not required

Y N

Matthew J Flynn, MD

M Y Pulmonology


(Pulmonary Dis; Amer-ican Board of Internal

Medicine



May be required

Y Y

Jeffrey E Ford, MD

M YFamily


ily MedicineNone

Not required

Y N

Jeffrey A Fries, OD


requiredY N

19414_02-21

Beth R Gabbard, OD


requiredY N

Joseph J Garcia, PA

M Y PediatricsNational Commission

on Certification of Phys Assis

NoneNot

requiredY N

Joshua B Goldstein, FNP

M YSleep

MedicineAmerican Academy of

Nurse PractitionersNone

May be required

Y N

Guillermo Gow-Lee, MD

M NInternal


NoneNot

requiredY N

Brant A Granger, DO

M NFamily


ily MedicineNone

Not required

Y N

Chauncey T Griggs, MD

M YGeneral Surgery




May be required

Y Y

Anna H Grosz, MD

F YOtolaryngol-


Otolaryngology



Medical Center; Oregon Health & Science University

May be required

Y Y

Yan Lin He, DO F NInternal

Medicine

American Osteopath-ic Board of Internal

MedicineNone

Not required

Y N

Amber L Henderson, MD

F YFamily


ily MedicineNone

Not required

Y N

Christine N Henderson, MD

F YGeneral Surgery




May be required

Y N

Craig S Hersh, MD

M Y DermatologyAmerican Board of

Dermatology



Medical Center

May be required

Y N

Alison B Herson, MD

F NFamily


ily Medicine



Not required

Y N

19414_02-21

Minh Q Ho, MD M YFamily


ily MedicineNone

Not required

Vietnam-ese

Y N

Thuy Lien T Hoang, MD

F YFamily


ily MedicineNone

Not required

Y N

Rebecca L Hoffman, MD

F YFamily


ily MedicineNone

Not required

Y N

Justin W Holt, MD M YOtolaryngol-


Otolaryngology



May be required

Y Y

Jeffrey V Hsu, MD M YOtolaryngol-


Otolaryngology



Medical Center

May be required

Y Y

Laura D Iuga, MD F YOtolaryngol-


Otolaryngology



Medical Center

May be required

Y Y

Mark C Johansen, DO

M NFamily


ily MedicineNone

Not required

Y N

Henry S Juan, MD M YInternal


NoneNot

requiredY N

Kendra H Kallemeyn, OD


requiredY N

Joseph M Kann, PA

M NInternal

Medicine


AssisNone

Not required

Y N

Cara M Katzer, MD

F YOtolaryngol-


OHNS



May be required

Y Y

Grace K Kaw, MD F NFamily



Center-LongviewNot

requiredY N

Laura M Keels, FNP

F YFamily



Not required

Y N

19414_02-21

James B Kilway II, MD

M YGeneral Surgery




Medical Center

May be required

Y N

Boyeong Kim, DO F Y PediatricsAmerican Board of

PediatricsNone

Not required

Y N

Charles Y Kim, MD

M YGeneral Surgery




May be required

Y Y

Emily J Klinger, CRT

F YRespiratory

TherapyNone

May be required

Y N

Benjamin J Koo, MD

M Y Neurology

American Board of Psychiatry and Neurol-ogy (Neurol; American Board of Psychiatry and

Neurology (Neurom



May be required

Y N

Totka R Koutzeva-Dussel, MD

F Y PhysiatryAmerican Board of Physical Medicine/

Rehabilitation



May be required

Y N

Michael K Lam, MD

M Y UrologyAmerican Board of

Urology



May be required

Y N

Lisa T Larman, DO F YFamily


ily MedicineNone

Not required

Y N

Chau T Le, DO F YFamily


ily MedicineNone

Not required

Y N

Kathryn A Leavitt, MD

F YOtolaryngol-


Otolaryngology



May be required

Y Y

Andre R Leger, MD

M YGeneral Surgery




May be required

Y Y

Mike G Lin, MD M YInternal


NoneNot

requiredY N

19414_02-21

Isabel A Lind, MD F NFamily


ily MedicineNone

Not required

Spanish Y N

Kevin C Loh, DO, MPH



(OccupationaNone

Not required

Y N

Samuel C Lopez, PA-C

M Y OrthopedicsNational Commission




May be required

Y N

Albert H Luh, MD M NFamily



Center-LongviewNot

requiredY N

Mark Lussier, MD M YFamily


ily MedicineNone

Not required

Y N

Aarti Mahadeva, OD


requiredY N

Branaven Mahadeva, MD

M Y Neurology

American Board of Psychiatry and Neurolo-gy (Neurom; American Board of Psychiatry and

Neurology (Neurol



May be required

Y N

Mellany P Manaig, MD

F YInternal


NoneNot

requiredY N

Kathryn L Maxwell, DO

F YInternal


NoneNot

requiredY N

Mary M McClelland, MD

F NFamily


ily Medicine



Not required

Y N

Asmarawork T Measho, ARNP

F YFamily



Not required

Y N

Susan L Mikkelsen, MD

F Y Pulmonology

American Board of In-ternal Medicine; Amer-ican Board of Internal Medicine (Pulmonary

Dis; American Board of Internal Medicine (Criti-

cal Care



Medical Center

May be required

Y N

Lauren M Morr, OD


requiredY N

19414_02-21

Juan E Munoz Oca, MD

M YFamily


ily MedicineNone

Not required

Spanish Y N

Khurram Naqvi, MD

M YInternal


NoneNot

requiredY N

Joshua H Nelson, MD

M Y Nephrology


Medicine (Nephrology)



Medical Center

May be required

Y N

Rebekah B Nelson, FNP

F NFamily



Not required

Y N

Vu V Ngo, MD M YInternal


NoneNot

requiredY N

Damilola E Olupona, DO

F YFamily

Medicine

American Board of Fam-ily Medicine; American Osteopathic Board of

Family Practice

NoneNot

requiredY N

Helena L Pang, DO

F YInternal

Medicine


MedicineNone

Not required

Y N

Venu G Parachuri, MD

M YPediatric

Neurology

American Board of Psychiatry and Neurol-ogy (Epilep; American

Board of Psychiatry and Neurology (Child

Kaiser Permanente Sunnyside Medical Center

May be required

Y Y

Andrew K Phan, PA-C

M YOtolaryngol-

ogy


Assis



May be required

Y Y

Anita G Rao, MD F Y Orthopedics

American Board of Orthopaedic Surgery

(Sports Medi; American Board of Orthopaedic

Surgery



May be required

Y N

Angie M Reynolds, MD

F YFamily


ily MedicineNone

Not required

Y N

19414_02-21

Nicholas A Richmond, MD


Dermatology



Medical Center

May be required

Y N

Patrick J Roach, DO

M NFamily

MedicineAmerican Osteopathic

Board of Family PracticeNone

Not required

Y N

John M Roberts, MD

M YGeneral Surgery




May be required

Y N

Charissa E Rogers, MD

F YFamily


ily MedicineNone

Not required

Y N

Laura E Rose, OD F Y Optometry Not Applicable NoneNot

requiredY N

Leigh R Saint-Louis, MD

F YFamily


ily MedicineNone

Not required

Y N

Rosario Blanca N Salarzon, MD

F NFamily


ily MedicineNone

Not required

Y N

Paurin Sangpatson, MD


PediatricsNone

Not required

Y N

Gregory B Scott, DO

M YFamily

Medicine

American Osteopath-ic Board of Family

PhysiciansNone

Not required

Y N

Mindy L Seybold, FNP-C

F YFamily



May be required

Y N

Yanan Shang, MD F Y Neurology

American Board of Psychiatry and Neurol-ogy (Neurol; American Board of Psychiatry and

Neurology (Epilep



May be required

Y Y

John C Shaw, MD M NInternal

Medicine

American Board of In-ternal Medicine; Ameri-can Board of Pediatrics

PeaceHealth St. John Medical Center-Longview

Not required

Y N

Samir M Shehab, MD

M N PediatricsAmerican Board of

PediatricsOHSU/Doernbecher Childrens

Not required

Y N

Jeffrey D Shrock, OD


requiredY N


requiredY Y

19414_02-21

Scott H Swartz, NP

M NInternal



Not required

Y N

Scott A Tabish, PA-C

M YGeneral Surgery


Assis



May be required

Y N

Chynna R Tang, OD


requiredY N

Cynthia M Tauscher, PA-C

F YFamily

Medicine


AssisNone

Not required

Y N

Jaclyn M Thobaben, PA-C

F YGastroenter-

ology


Assis



May be required

Y Y

Elizabeth A Thorstenson, PA-C

F YFamily

Medicine


AssisNone

Not required

Y N

Jerry M Tran, MD M Y Pulmonology

American Board of Internal Medicine (Pul-monary Dis; American Board of Internal Med-icine; American Board

of Internal Medicine (Critical Care



Medical Center

May be required

Y Y

Peterson T Tsai, DO

M YFamily


ily MedicineNone

Not required

Y N

Sally M Waddle, PA-C

F NFamily

Medicine


AssisNone

Not required

Y N

Bei Wang, MD F YInternal


NoneNot

requiredY N

Ellie R Wells, PA-C F NFamily

Medicine


AssisNone

Not required

Y N

Jeffery C Wheat, MD

M Y UrologyAmerican Board of

Urology

Kaiser Permanente Sunnyside Medical Center; Kaiser Per-manente Westside Medical

Center; Legacy Salmon Creek Medical Center; Salem Hospital

May be required

Y N

19414_02-21

Jill S Williams, MD F YFamily


ily MedicineNone

Not required

Y N

Ashley G Winter, MD

F Y UrologyAmerican Board of

Urology



Medical Center

May be required

Y N

Paul K Won, MD M YOccupation-al Medicine

American Board of Pre-ventive Medicine (Pub

Health/None

Not required

Y N

Dannielle C Woodruff, DO

F YInternal

Medicine


MedicineNone

Not required

Y N

James A Wright, DPM

M Y Podiatry

American Board of Podi-atric Surgery (Foot Sur-gery); American Board

of Podiatric Surgery (Reconstruct R



May be required

Y N

Yang Ye, MD M YFamily


ily MedicineNone

Not required

Mandarin Y N

David A Young, MD

M NInternal


NoneNot

requiredY N

Cascade Park Medical Offices12607 SE Mill Plain BlvdVancouver, WA. 98684855-632-8280


Accepting New


Required


EnglishAccepts

MedicareAccepts

Medicaid

Victor W Boomer-Jenks, LCSW



requiredY N

Davis C Clowers, PMHNP

M YMental Health


NoneNot

requiredY N

Diane L Cole, LCSW, PhD

F YAddiction Medicine

Not Applicable



Not required

Y N

19414_02-21

Grant C Crowley, LMFT

M YMental Health


requiredY N

Paul D De Baldo Jr, PMHNP

M YMental Health

American Nurses Credentialing Center; American Nurses Cre-

dentialing Center

NoneNot

requiredY N

Demetrius R Donseroux, LPC

M YMental Health

NoneNot

requiredY N

Melanie V Eaton, LCSW

F YMental Health


requiredY N

Jonathan J Ebbing, MD

M NMental Health


(Psychi



Not required

Y N

Pamela J Edwards, MD

F YMental Health


(Psychi



Not required

Y N

Marilyn S Eubanks, LPC

F YMental Health


requiredY N

Christine F Finucane, LCSW


Not Applicable



Not required

Y N

Jeremy K Gardner, LMFT

M YMental Health


requiredY N

Robert J Geiger Jr, CADC III


Certified Alcohol Drug Counselor III

NoneNot

requiredY N

Patricia L Harris, PsyD

F YMental Health


requiredY N

Gretchen A Hein, DO

F YMental Health


(Psychi



Not required

Y N

Bonnie S Huber, MD

F YMental Health


(Psychi



Not required

Y N

19414_02-21

Christiane L Kubit, MD

F YMental Health


(Psychi



Not required

Y N

Ann F Lauritsen, LCSW

F YMental Health


requiredY N

Joyce L London, LICSW

F YMental Health


requiredY N

Tammy J McCollam, LMHC

F YMental Health


NoneNot

requiredY N

Heather L McKittrick, CADC I


Certified Alcohol Drug Counselor I; Certified

Alcohol Drug Counsel-or I

NoneNot

requiredY N

Lisa D Mitchell, LICSW

F YMental Health


requiredY N

Thomas A Passmore, DO

M YMental Health


(Psychi



Not required

Y N

Joylynn C Penaloza, PsyD

F YMental Health


requiredY N

Oxana V Perian, LMHC



requiredY N

Patricia M Rivera, PsyD

F YMental Health


requiredY N

Caroline Rose, LCSW

F YMental Health


requiredY N

Michele S Scott, LMHC



requiredY N

Melissa Sellers, LCSW

F YMental Health


requiredY N

Richard M Shuey, MD

M YChild and

Adolescent Psychiatry


(Child/



Not required

Y N

19414_02-21

Richard M Shuey, MD

M YMental Health


(Child/



Not required

Y N

Jason T Slaton, CDP



NoneNot

requiredY N

Megan H Smith, LPC

F YMental Health


requiredY N

Sara A Smith, LMHC


Not Applicable



Not required

Y N

Bradley W Strong, MD

M YMental Health


(Psychi



Not required

Y N

Veronica N Sullivan, PhD

F YMental Health


requiredY N

Jacob A Timmerman, LMFT

M YMental Health


requiredY N

Jennifer M Wakeman, CDP



NoneNot

requiredY N

Karen T Waters, LMHC

F YMental Health


requiredY N

Timothy W West, LPC


Certified Alcohol Drug Counselor III

NoneNot

requiredY N

Julie H Wiesner, LICSW

F YMental Health


requiredY N

Edward G Worsman, PMHNP

M YMental Health


NoneNot

requiredY N

Jennifer Wycoff, LMHC

F YMental Health


requiredY N

Wendy L del Mar, LCSW

F YMental Health


requiredY N

19414_02-21

Cedar Hills Medical/Dental Offices12450 SW Walker RdBeaverton, OR. 97005800-813-2000


Accepting New


Required


EnglishAccepts

MedicareAccepts

Medicaid

Kerry J Rasmussen, MD

F NFamily


ily MedicineNone

Not required

Y Y

Clackamas Eye Care12100 SE Stevens Ct Ste 106Clackamas, OR. 97266800-813-2000


Accepting New


Required


EnglishAccepts

MedicareAccepts

Medicaid

Anna R Anderson, OD


requiredY Y

Allicia K Beach, OD


requiredY Y

Mariska R Cirera-Probst, OD

F Y OptometryNational Board of Exam-

iners in OptometryNone

Not required

Y Y

Richard T Claiborne, OD


requiredY N

Wesley D Crockett, OD

M Y OptometryAmerican Board of

OptometryNone

Not required

Y Y

Ronald P Davis II, MD

M YOphthalmol-


Ophthalmology




May be required

Y Y


requiredY N

Xiaofeng Fu, OD F Y Optometry Not Applicable NoneNot

requiredY Y

19414_02-21

Jonathan B Greene, MD

M YOphthalmol-


Ophthalmology




May be required

Y Y

Michele M Hall, OD


requiredY N

John J Koo, MD M YOphthalmol-


Ophthalmology




May be required

Y Y

Patrick Kwong, OD


requiredY Y

Natasha K Kye, MD

F YOphthalmol-


Ophthalmology




May be required

Y Y

Kim N Le, OD F Y Optometry Not Applicable NoneNot

requiredY Y



requiredY N

Kelly N Ma, MD, MPH

F YOphthalmol-


Ophthalmology




May be required

Y Y

Peter B Marsh, MD

M YOphthalmol-


Ophthalmology




May be required

Y Y

Christopher D Pearce, OD


requiredY Y

19414_02-21

Matthew G Pearce, OD


requiredY Y

Kristin A Rarey, MD

F YOphthalmol-


Ophthalmology



May be required

Y Y

Alise N Roberson, OD


requiredY Y

Sheena R Rolston, OD


requiredY Y

Laura E Rose, OD F Y Optometry Not Applicable NoneNot

requiredY N

Jonathan A Russell, OD


requiredY Y

David L Simons, MD, PhD

M YOphthalmol-


Ophthalmology

Kaiser Permanente Sunny-side Medical Center; Kaiser Permanente Westside Medi-cal Center; Oregon Health &

Science University

May be required

Y Y


requiredY Y

Lyndsay M Stewart, OD


requiredY Y

Chynna R Tang, OD


requiredY N

Paula Wynn, MD F YOphthalmol-


Ophthalmology




May be required

Y Y

19414_02-21

Eugene Chase Garden Medical Offices360 S Garden Wy Ste 105Eugene, OR. 97401800-813-2000


Accepting New


Required


EnglishAccepts

MedicareAccepts

Medicaid

Cheryl J Boyd, MD

F YInternal


NoneNot

requiredY N

Sheila Jhansale, MD

F YInternal


NoneNot

requiredY N

Mary A Loeb, MD F YFamily


ily MedicineNone

Not required

Y N

Jessica C Lohff-Phillips, DO

F YFamily

Medicine


NoneNot

requiredY N

Jessica C Lohff-Phillips, DO

F YInternal

Medicine


NoneNot

requiredY N

David B Witkin, MD

M YInternal



Permanente Westside Medical Center; Salem Hospital

Not required

Y N

Eugene Chase Garden Medical Offices360 S Garden Wy Ste 105Eugene, OR. 97401855-632-8280


Accepting New


Required


EnglishAccepts

MedicareAccepts

Medicaid

Lauren C Hills, LPC

F NMental Health


requiredY N

19414_02-21

Gateway Medical Offices1700 NE 102nd AvePortland, OR. 97220800-813-2000


Accepting New


Required


EnglishAccepts

MedicareAccepts

Medicaid

Carl B Anderson, MD



(OccupationaNone

Not required

Y Y

John D Anderson, MD


PediatricsKaiser Permanente Sunnyside

Medical CenterNot

requiredSpanish Y Y

James P Burke, ARNP

M N PediatricsAmerican Nurses Cre-

dentialing CenterLegacy Salmon Creek Medical

CenterNot

requiredY Y

Matthew R Campbell, MD, MPH


American Board of Pre-ventive Medicine (Public

HealNone

Not required

Y N

Kathy Y Chang, MD, MPH

F YOccupation-al Medicine


(OccupationaNone

Not required

Y Y

Katherine A Clayton, MD

F N PediatricsAmerican Board of

PediatricsNone

Not required

Y Y

Robert E Dexter, MD

M NInternal




Not required

Y Y

Matthew E Dubrow, DO


American Osteopathic Board of Family Practice

NoneNot

requiredY N

Kathryn J Glassberg, MD

F NInternal


NoneNot

requiredY Y

Brooke M Holmes, MD

F NInternal




Not required

Y Y

Richard R Jenkins, MD

M NInternal


NoneNot

requiredY Y

Vesna A Jovanovic, MD

F YFamily


ily MedicineNone

Not required

Y Y

19414_02-21

Wui-Leong Koh, MD

M NFamily


ily MedicineNone

Not required

Y Y

Jennifer S Lin, MD F NInternal


NoneNot

requiredY Y

Sasha D Mallett, MD, MPH

F YInternal


NoneNot

requiredY Y

Brittany H Mastin, DO

F YFamily


ily MedicineNone

Not required

Y Y

Noreen A Mercando, DO

F YFamily

MedicineAmerican Osteopathic

Board of Family PracticeNone

Not required

Y N

Jasminka M Mujcic, MD

F NFamily


ily MedicineNone

Not required

Y Y

Joan C Nelson, PA-C

F YFamily

Medicine


AssisNone

Not required

Y Y

Bina D Patel, MD, MPH

F YFamily


ily MedicineNone

Not required

Spanish Y Y

Emily J Peterson, NP

F YFamily

Medicine

AANP Family Nurse Practitioner

CertificationNone

Not required

Y Y

Samantha M Potter, DO

F YFamily


ily MedicineNone

Not required

Y Y

Anna L Raphael, MD

F YInternal




Not required

Y Y

Uhng-Choon B Shim, MD

F YInternal


NoneNot

requiredY Y

Selena M Sideras, DO

F YFamily


ily MedicineNone

Not required

Y Y

Kimberly L Vigil, MD


PediatricsNone

Not required

Y Y

Benjamin D Wachsmuth, MD

M NFamily


ily MedicineNone

Not required

Y Y

Bryan Wu, MD M YFamily


ily MedicineNone

Not required

Y Y

19414_02-21

Gateway Medical Offices1700 NE 102nd AvePortland, OR. 97220855-632-8280


Accepting New


Required


EnglishAccepts

MedicareAccepts

Medicaid

Sarah E Bruno, LCSW

F YMental Health


requiredY N

Margaret P Keicher, LCSW

F YMental Health


requiredY N

Hillsboro Medical Offices5373 E Main StHillsboro, OR. 97123800-813-2000


Accepting New


Required


EnglishAccepts

MedicareAccepts

Medicaid

Mara O Colbert, MD

F NFamily


ily MedicineNone

Not required

Y Y

David M Coss, MD

M NFamily


ily MedicineNone

Not required

Y Y

Tess E Ish-Shalom, DO

F NFamily


ily MedicineNone

Not required

Y Y

Maggie E Wells, MD, MPP

F YFamily


ily MedicineNone

Not required

Y Y

19414_02-21

Interstate Medical Offices Central3600 N Interstate AvePortland, OR. 97227800-813-2000


Accepting New


Required


EnglishAccepts

MedicareAccepts

Medicaid

Eric S Albright, MD

M YEndocrinol-

ogy

American Board of Internal Medicine (Endocrinology



May be required

Y Y

Nancy L Alexander, AUD

F Y Audiology Not Applicable



May be required

Y Y

Kristyn E Anthony, MD

F YAllergy and

Immunology

American Board of Allergy and Immunolo-gy; American Board of

Pediatrics



Medical Center

May be required

Y Y

Dilip S Babu, MD M YHematol-ogy and

Oncology

American Board of Hematology/Oncology; American Board of Hos-pice & Palliative Medi-

cine; American Board of Internal Medicine



May be required

Y Y

Alistair Bahar, MD M YEndocrinol-

ogy

American Board of Internal Medicine (Endocrinology



Medical Center

May be required

Y Y

Christine M Barnett, MD

F YHematol-ogy and

Oncology

American Board of In-ternal Medicine (Hema-tology); American Board

of Internal Medicine; American Board of In-ternal Medicine (Medi-

cal Oncol

Kaiser Permanente Sunny-side Medical Center; Kaiser Permanente Westside Med-ical Center; Legacy Salmon

Creek Medical Center; Salem Hospital

May be required

Y Y

Allicia K Beach, OD


requiredY Y

19414_02-21

Bhavini B Bhavsar, MD, MPH

F YEndocrinol-

ogy


(Endocrinology; Amer-ican Board of Internal

Medicine



May be required

Y Y

Kristin S Biggee, MD

F YOphthalmol-


Ophthalmology




May be required

Y N

Melinda F Binkley, MD

F YOphthalmol-


Ophthalmology



Medical Center

May be required

Y Y

Patrick M Birbeck, PA-C

M YGastroenter-

ology


Assis



May be required

Y N

Punprapai Boriboonsomsin, MD

F YHematol-ogy and

Oncology


of Internal Medicine; American Board of In-ternal Medicine (Medi-

cal Oncol



May be required

Y Y

Jennifer T Bowman, AUD




May be required

Y Y

Soames F Boyle, MD

F YHematol-ogy and

Oncology


Medicine (Hematology); American Board of In-ternal Medicine (Medi-

cal Oncol



May be required

Y Y

19414_02-21

Adam F Braganza, MD

M YOphthalmol-


Ophthalmology




May be required

Y N

Mark T Chan, MD M YAllergy and

ImmunologyAmerican Board of Al-lergy and Immunology



Medical Center

May be required

Y Y

Alexandra B Choban, OD


requiredY N

Anthony C Cirino, MD

M YOphthalmol-


Ophthalmology




May be required

Y Y

Debra M Clement, FNP-C

F YGastroenter-

ologyAmerican Academy of

Nurse Practitioners



May be required

Y Y

Diane M Cockburn, ANP

F YHematol-ogy and

Oncology

American Academy of Nurse Practitioners



May be required

Y Y

Daniel I Da Graca, MD

M YHematol-ogy and

Oncology


of Internal Medicine (Medical Oncol; Amer-ican Board of Internal

Medicine



May be required

Y Y


requiredY N

Jennifer L Dwyer, DO

F Y Physiatry

American Board of Physical Medicine/

Rehabilitation; Amer-ican Board of Physical

Medicine/Rehabilitation



May be required

Y Y

19414_02-21

Victoria A Edwards, MS

F YSpeech Therapy

Not Applicable NoneMay be

requiredY Y

Andrea L Ferreiro, DO


Rehabilitation



May be required

Y Y

Kim M Finucan, OD


requiredY Y

Sarah D Fitzmaurice, MD

F Y DermatologyAmerican Board of

Dermatology



May be required

Y Y

Kelly D George, MD

F YEndocrinol-

ogyAmerican Board of Internal Medicine



May be required

Y Y

Thomas H Gibbs, OD


requiredY Y

Jonathan B Greene, MD

M YOphthalmol-


Ophthalmology




May be required

Y Y

Teresa R Hall, AUD




May be required

Y Y

Diane D Harper, FNP-C

F YHematol-ogy and

Oncology




May be required

Y Y

Trevor H Hay, OD M Y Optometry Not Applicable NoneNot

requiredY Y

19414_02-21

Catalina Hernandez Torres, MD

F YHematol-ogy and

Oncology


Medicine (Medical On-col; The Royal College of Physicians and Sur-

geons of Ca; The Royal College of Physicians and Surgeons of Ca



May be required

Y Y

Leslie E Hojem, MS




May be required

Y Y

Julie C Hong, MD F YAllergy and

Immunology

American Board of Al-lergy and Immunology; American Board of In-

ternal Medicine; Ameri-can Board of Pediatrics



Medical Center

May be required

Y Y

Jesse Y Howell, MD


Dermatology



May be required

Y Y

Jennifer T Hunt, PA

F Y PhysiatryNational Commission


NoneMay be

requiredY Y

Kenneth D Ingram, PA-C

M YGastroenter-

ology


Assis



May be required

Y Y

Jazmine H Jung, CGC

F Y Genetics NoneMay be

requiredY N

Audrey Karlea, CGC

F Y Genetics NoneMay be

requiredY N

Rahul Kasukurthi, MD

M YPlastic

SurgeryAmerican Board of Plas-

tic Surgery

Kaiser Permanente Sunny-side Medical Center; Kaiser Permanente Westside Medi-cal Center; Oregon Health &

Science University

May be required

Y Y

19414_02-21

Matthew P Kaul, MD

M Y PhysiatryAmerican Board of Physical Medicine/

Rehabilitation



May be required

Y N

Cord R Keel, PA-C M YGastroenter-

ology


Assis



May be required

Y Y

James Y Kim, MD M Y PhysiatryAmerican Board of Physical Medicine/

Rehabilitation



May be required

Y Y

Kari M Komlofske, FNP-C

F YHematol-ogy and

Oncology




May be required

Y Y

John J Koo, MD M YOphthalmol-


Ophthalmology




May be required

Y Y

Rajeev Krishnan, MD

M YHematol-ogy and

Oncology


Medicine (Medical Oncol



May be required

Y Y

Andrew D Kroeker, MD

M YOtolaryngol-


Otolaryngology




May be required

Y Y

Douglas M Lackowski, MD

M YHematol-ogy and

Oncology

American Board of In-ternal Medicine (Medi-

cal Oncol



May be required

Y Y

19414_02-21

Diane M Langer, LCSW

F YHematol-ogy and

OncologyNone

May be required

Y N

Jake D Lenington, MD

M YAllergy and

Immunology

American Board of Allergy and Immunolo-gy; American Board of

Internal Medicine



Medical Center

May be required

Y Y

Henry Lin, MD, PhD

M YOphthalmol-


Ophthalmology



May be required

Y Y

Wayne R Lo, MD M YOphthalmol-


Ophthalmology




May be required

Y Y



requiredY N

Kelly N Ma, MD, MPH

F YOphthalmol-


Ophthalmology




May be required

Y Y

Vaibhav V Maheshwari, DO

M Y Physiatry

American Board of Physical Medicine/

Rehabilitation; Amer-ican Board of Physical

Medicine/Rehabilitation



May be required

Y Y

Lynette S Malik, MD


Rehabilitation



May be required

Y Y

19414_02-21

Abdul Hai Mansoor, MD

M YHematol-ogy and

Oncology

American Board of Internal Medicine (Med-

ical Oncol; American Board of Internal Med-icine; American Board

of Internal Medicine (Hematology)



Medical Center

May be required

Y Y

Sandeep H Mashru, MD

M YHematol-ogy and

Oncology


Medicine (Medical Oncol; American Board

of Internal Medicine (Hematology)



May be required

Y Y

Mariah N Mason, MD

F Y DermatologyAmerican Board of

Dermatology



Medical Center

May be required

Y Y

Michael J May, MD

M YOphthalmol-


Ophthalmology



Medical Center

May be required

Y Y

Angela Z Minavi, OD


requiredY Y

Elizabeth M Minick, MSW

F YPediat-

ric Devl/Behavioral

NoneMay be

r

Documents

Participating and Select Provider directoryCare Essentials - Pearl 1045 NW Northrup St Portland, OR. 97209 503-813-2000. Provider Name Credential Gender Accepting New Members Specialty