MONICA MYKLEBUST

PROVIDENCE HEALTH AND SERVICES OREGON

Dr MONICA MYKLEBUST is a female medical professional, specializing in Family Medicine. She graduated in 1993 from University Of Minnesota Medical School.

Contact

PROVIDENCE HEALTH AND SERVICES OREGON

16180 SE SUNNYSIDE RD
102 PROV MED GR HAP VALL
HAPPY VALLEY
OR
970156379

Tel: 5035824900

MONICA MYKLEBUST Information

Npi 1811086762
Pac Id 2860578705
Professional Enrollment Id I20080318000690
Last Name MYKLEBUST
First Name MONICA
Middle Name
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year 1993
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Group Practice Pac Id 0648183608
Number Of Group Practice Members 1139
Line 1 Street Address 16180 SE SUNNYSIDE RD
Line 2 Street Address 102 PROV MED GR HAP VALL
Marker Of Address Line 2 Suppression
City HAPPY VALLEY
State OR
Zip Code 970156379
Phone Number 5035824900
Hospital Affiliation Ccn 1 380082
Hospital Affiliation Lbn 1 PROVIDENCE MILWAUKIE HOSPITAL
Hospital Affiliation Ccn 2 380061
Hospital Affiliation Lbn 2 PROVIDENCE PORTLAND MEDICAL CENTER
Hospital Affiliation Ccn 3 380038
Hospital Affiliation Lbn 3 PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER
Hospital Affiliation Ccn 4 380004
Hospital Affiliation Lbn 4 PROVIDENCE ST VINCENT MEDICAL CENTER
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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