Angela Kathryn Bohlke, MD | |
1793 13th St Se, Salem, OR 97302-2541 | |
(503) 362-8385 | |
(503) 362-8435 |
Full Name | Angela Kathryn Bohlke |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 18 Years |
Location | 1793 13th St Se, Salem, 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 |
---|---|---|---|
1649453390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD.201620 (Louisiana) | Secondary |
207ND0900X | Dermatology - Dermatopathology | MD153871 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ohsu Hospital And Clinics | Portland, OR | Hospital |
Providence Portland Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Silver Falls Dermatology Llc | 5890863492 | 81 |
Silver Falls Dermatology Llc | 5890863492 | 81 |
Entity Name | Silver Falls Dermatology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134375421 PECOS PAC ID: 5890863492 Enrollment ID: O20081009000466 |
Entity Name | Mountain West Derm - Blackhart Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447764741 PECOS PAC ID: 1153609813 Enrollment ID: O20171219002516 |
Mailing Address | Practice Location Address |
---|---|
Angela Kathryn Bohlke, MD 1793 13th St Se, Salem, OR 97302-2541 Ph: (503) 362-8385 | Angela Kathryn Bohlke, MD 1793 13th St Se, Salem, OR 97302-2541 Ph: (503) 362-8385 |
Thomas V Kruse, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1410 Commercial St Se, Salem, OR 97302 Phone: 503-370-7364 Fax: 503-375-3643 | |
Dr. Russell John Young, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 503-362-8385 Fax: 503-362-8435 | |
Dr. Jacques Michael Casparian, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 503-362-8385 Fax: 503-362-8435 | |
Michael E Goodenberger, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2441 Grear St Ne, Salem, OR 97301 Phone: 503-588-0469 | |
Lacey Roybal, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 866-599-3376 | |
Erik Kokkonen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2441 Grear St Ne, Salem, OR 97301 Phone: 503-588-0469 Fax: 503-566-2063 | |
William Lear, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 503-362-8385 Fax: 503-362-8435 |