| Dr Shane L Ellsworth, DMD | |
|
704 Ne Evans St, Mcminnville, OR 97128-3926 | |
| (503) 472-1404 | |
| Not Available |
| Full Name | Dr Shane L Ellsworth |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 704 Ne Evans St, Mcminnville, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639379522 | NPI | - | NPPES |
| 004011136 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9517 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane L Ellsworth, DMD 704 Ne Evans St, Mcminnville, OR 97128-3926 Ph: (503) 472-1402 | Dr Shane L Ellsworth, DMD 704 Ne Evans St, Mcminnville, OR 97128-3926 Ph: (503) 472-1404 |
Ann Marie Hofbauer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2260 Sw 2nd St, Mcminnville, OR 97128 Phone: 503-474-9888 Fax: 503-474-9889 | |
Ingrid Marika Viljak, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 819 Ne Baker St, Mcminnville, OR 97128 Phone: 503-472-7900 Fax: 503-474-1819 | |
Mailyn Elizabeth Switzer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 344 Ne Galloway St, Mcminnville, OR 97128 Phone: 503-472-7592 Fax: 503-435-0551 | |
Dr. Kenneth Dean Wylie, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 325 Ne 6th St, Mcminnville, OR 97128 Phone: 503-472-6182 | |
Dr. Brian Scott Van Voorhis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 398 Ne Norton Ln, Mcminnville, OR 97128 Phone: 503-569-0953 Fax: 503-463-6141 | |
Lauryn E Marks, DMD Dentist Medicare: Medicare Enrolled Practice Location: 510 Ne 8th St, Mcminnville, OR 97128 Phone: 503-472-3147 | |
Katimarie Ralston, DDS Dentist Medicare: Medicare Enrolled Practice Location: 115 Ne May Ln, Mcminnville, OR 97128 Phone: 503-883-4075 Fax: 503-883-4764 |