Amy Katherine Chaumeton, MD | |
24800 Se Stark St, Gresham, OR 97030-3378 | |
(503) 674-1580 | |
(503) 674-1581 |
Full Name | Amy Katherine Chaumeton |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 24800 Se Stark St, Gresham, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033183918 | NPI | - | NPPES |
287358 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD22037 (Oregon) | Primary |
208M00000X | Hospitalist | MD22037 (Oregon) | Secondary |
Entity Name | Legacy Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Mailing Address | Practice Location Address |
---|---|
Amy Katherine Chaumeton, MD 24800 Se Stark St, Gresham, OR 97030-3378 Ph: (503) 674-1580 | Amy Katherine Chaumeton, MD 24800 Se Stark St, Gresham, OR 97030-3378 Ph: (503) 674-1580 |
Kathrin Rose Meyers, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951 | |
Dr. Kathryn L Huyssoon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24988 Se Stark St, Ste 300, Gresham, OR 97030 Phone: 503-674-5818 Fax: 503-674-6709 | |
Dr. Brittany Nicole Kishel, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951 | |
Aura Theresa Bondoc De Olazo, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 24988 Se Stark St, Mob 3 Suite 220, Gresham, OR 97030 Phone: 503-674-1580 Fax: 503-674-1581 | |
Dr. Brittney B Mensen, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Nw Council Dr Ste 101, Gresham, OR 97030 Phone: 503-665-8176 Fax: 503-665-8178 | |
Richard Wayne Craft Sr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24900 Se Stark St Ste 202, Gresham, OR 97030 Phone: 503-465-8887 Fax: 503-465-8808 |