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Briana Kjornes

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd, Gh219, Portland, OR 97239-3011

PECOS Enrollment

Based on the most recent information from CMS, provider Briana Kjornes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1831462407
Provider Type
Individual
Full Name
Kjornes, Briana
Credential
PA-S

Gender
Female
Sole Proprietor
No
Enumeration Date
2/13/2012
Last Updated
12/18/2020

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Gh219, Portland, OR 97239-3011

(503) 494-3633

Unlisted Fax

Mailing Location

3181 SW Sam Jackson Park Rd, Gh219, Portland, OR 97239-3011

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA165908 Oregon
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA165908 Oregon

Briana Kjornes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Newhart, Bradley Thomas

Mostafavifar, Mina

Locicero, Stephanie

Bernstein, Juliana Mogielnicki

Makarachi, Teardaad

Achilova, Lola

Bianchi, Jillian

Donovan, Jeffrey

Roth, Bryan Gary James

Smith, Parrish