Dr Philip Crighton King Iii, AUD | |
1111 Ne 99th Ave Ste 101, Portland, OR 97220-9442 | |
(503) 488-2626 | |
(503) 488-2630 |
Full Name | Dr Philip Crighton King Iii |
---|---|
Gender | Male |
Speciality | Audiologist |
Location | 1111 Ne 99th Ave Ste 101, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124803143 | NPI | - | NPPES |
2258846 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 31090 (Oregon) | Primary |
Provider Name | The Oregon Clinic, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096 |
Mailing Address | Practice Location Address |
---|---|
Dr Philip Crighton King Iii, AUD 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801 | Dr Philip Crighton King Iii, AUD 1111 Ne 99th Ave Ste 101, Portland, OR 97220-9442 Ph: (503) 488-2626 |
Haley Anna Szabo, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-5171 | |
Cynthia Herzog, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 921 Nw 18th Ave, Portland, OR 97209 Phone: 503-227-3666 | |
Allison M. Connolly, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9135 Sw Barnes Rd Ste 561, Portland, OR 97225 Phone: 503-216-2339 | |
Maritza Zaldivar-lima, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 501 N Graham St Ste 455, Portland, OR 97227 Phone: 503-751-2897 | |
Michele Samantha Lewis, PH.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-220-8262 | |
Mrs. Christina Marie Adams, AUD, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3502 Ne Broadway St, Portland, OR 97232 Phone: 503-284-1906 Fax: 503-546-0894 | |
Dustin Ooley, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 833 Ne 74th Ave, Portland, OR 97213 Phone: 503-916-5570 |