Dr Amber Lynn Watters, DDS | |
4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | |
(503) 215-1676 | |
Not Available |
Full Name | Dr Amber Lynn Watters |
---|---|
Gender | Female |
Speciality | Orofacial Pain |
Experience | 18 Years |
Location | 4805 Ne Glisan St Ste 11n, Portland, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477786499 | NPI | - | NPPES |
500665882 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D9951 (Oregon) | Secondary |
1223X2210X | Dentist - Orofacial Pain | D9951 (Oregon) | Primary |
122300000X | Dentist | 053820 (New York) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Portland Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Mailing Address | Practice Location Address |
---|---|
Dr Amber Lynn Watters, DDS Po Box 3158, Portland, OR 97208-3158 Ph: () - | Dr Amber Lynn Watters, DDS 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 Ph: (503) 215-1676 |
Esther Jihae Lee, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5308 Se 52nd Ave, Portland, OR 97206 Phone: 503-775-4000 | |
Dr. Elizabeth Freda Schuler, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 202 Ne 181st Ave Ste C, Portland, OR 97230 Phone: 503-912-0443 | |
Dr. Octavia S Lively, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Vetrn Hosp Rd, Portland, OR 97239 Phone: 503-220-8262 | |
Michelle R Lawrence, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3671 Sw River Pkwy, Portland, OR 97239 Phone: 503-841-5658 Fax: 503-384-2953 | |
Albert Vinh Khiem Ngo, Dentist Medicare: Medicare Enrolled Practice Location: 4104 Se 82nd Ave Ste 450, Portland, OR 97266 Phone: 562-852-3113 | |
Dr. Esha Mukherjee, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2730 S Moody Ave, Portland, OR 97201 Phone: 502-531-3763 | |
Dr. Larry Robert Franz, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12135 Se Foster Rd, Portland, OR 97266 Phone: 503-760-7610 Fax: 503-760-7896 |