Cynthia Worden LLC
Organization Active NPI Family Medicine Physician · Gladstone, OR
NPI 1295969608 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1295969608
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO27930 (OR)
- Legal business name
- CYNTHIA WORDEN LLC
- Practice address
- 15 82ND Dr Ste 100
Gladstone, OR 97027-2550 - Phone
- (503) 831-9231
- Fax
- (503) 656-8080
- NPI assigned
- May 13, 2009
- Organization subpart
- No
Authorized official
- Name
- Cynthia Worden, DO
- Title
- Presidnet
- Phone
- (503) 953-0126
Practitioners 3
-
Cynthia M Worden, DO LLC
-
Robert E Kessler, D.O.
-
Paula Crone, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180125000887 | OR | Part B Supplier - Clinic/Group Practice | 9830247253 |
Receives reassigned benefits from 2 practitioners Practice locations: Gladstone, OR |
National Provider Directory
Locations
15 82nd Dr
Ste 100
Gladstone, OR 97027
Phone (503) 831-9231
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | DO27930 | OR | Yes |
Addresses
Primary practice location
15 82ND Dr Ste 100
Gladstone, OR 97027-2550
Mailing address
15 82ND Dr Ste 100
Gladstone, OR 97027-2550
Phone (503) 831-9231
Other practice location 1
9200 SE 91st Ave Ste 220
Happy Valley, OR 97086-3756
Phone (503) 239-7030
Other providers in Gladstone, OR
- Arlen Scott Craig
- Amy Elizabeth Crise
- Dawn Marie Crosley
- Luann Crum
- Grant William Cunningham
- Kacey Danyelle Dahmen
- Cyd Lorry Dashkoff
- Mikaylee Dato
- Dennis T. Adair D.M.D., P.C.
- Lynnette Diller
All providers in Gladstone, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.