Abigail Elizabeth Vautrain, MD | |
1433 Se 1st Ave, Canby, OR 97013-6768 | |
(503) 525-7600 | |
(503) 525-7601 |
Full Name | Abigail Elizabeth Vautrain |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 14 Years |
Location | 1433 Se 1st Ave, Canby, 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 |
---|---|---|---|
1710208921 | NPI | - | NPPES |
22959 | Medicaid | OR | |
096511 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD172130 (Oregon) | Primary |
207R00000X | Internal Medicine | 255056 (Massachusetts) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
Legacy Silverton Medical Center | Silverton, OR | Hospital |
Ohsu Hospital And Clinics | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Meridian Park Hospital | 5092609842 | 90 |
Entity Name | Legacy Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Entity Name | Legacy Good Samaritan Hospital And Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
Entity Name | Multnomah County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609914787 PECOS PAC ID: 6608771787 Enrollment ID: O20031203000025 |
Entity Name | Legacy Emanuel Hospital & Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
Entity Name | Silverton Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172 |
Entity Name | Legacy Meridian Park Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181 |
Entity Name | Legacy Mount Hood Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386919132 PECOS PAC ID: 3173515996 Enrollment ID: O20040401000550 |
Mailing Address | Practice Location Address |
---|---|
Abigail Elizabeth Vautrain, MD Po Box 6689, Portland, OR 97228-6689 Ph: (503) 413-3900 | Abigail Elizabeth Vautrain, MD 1433 Se 1st Ave, Canby, OR 97013-6768 Ph: (503) 525-7600 |
Daniel L Hughson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1185 South Elm St, Canby, OR 97013 Phone: 503-723-4660 Fax: 503-266-6649 | |
Dr. Melvin H Yamase, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1185 S Elm Street, Canby, OR 97013 Phone: 503-723-4660 Fax: 503-266-6649 | |
Marc A Zenoniani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1185 South Elm St, Canby, OR 97013 Phone: 503-723-4660 Fax: 503-266-6649 |