Janice A Lindstrom, MD
Individual provider Active NPI Family Medicine Physician · Eagle Point, OR
NPI 1720184013 · NPPES record last updated Nov 4, 2019
Key facts
- NPI
- 1720184013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD177497 (OR)
- Practice address
- 1332 S Shasta Ave
Suite a
Eagle Point, OR 97524-8623 - Phone
- (541) 826-8160
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Southern California Keck School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Northwest
Practice addresses (Care Compare)
1160 Wallace Rd NW
Salem, OR 97304-3116
Phone (800) 813-2000
2400 Lancaster Dr NE
Salem, OR 97305-1221
Phone (800) 813-2000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131106001696 | WA | Practitioner - Family Practice | 2961303193 | Reassigns benefits to 1 organization |
| I20160603000205 | OR | Practitioner - Family Practice | 2961303193 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD177497 | OR | MD | Family Medicine Physician |
| MD60385032 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current |
Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60385032 | WA | |
| Family Medicine Physician | 207Q00000X | MD177497 | OR | Yes |
Addresses
Primary practice location
1332 S Shasta Ave
Suite a
Eagle Point, OR 97524-8623
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (541) 826-8160
Other providers in Eagle Point, OR
- Sean Andrew Lawrence
- Paul Le
- Yeonjoo Lee-Jones
- Leigh F Lenz
- Erin Nicole Leroy
- John Loranger
- Sheri Lynn
- Mark Breeden OD, Inc
- Pamela S. Martin
- Tina Louise Matthews
All providers in Eagle Point, 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 Nov 4, 2019. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.