Betty Si Yuan Jiang, | |
17704 Jean Way Ste 102, Lake Oswego, OR 97035-5585 | |
(503) 635-9221 | |
Not Available |
Full Name | Betty Si Yuan Jiang |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 9 Years |
Location | 17704 Jean Way Ste 102, Lake Oswego, 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 |
---|---|---|---|
1194110288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 175989 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Oswego Dermatology Group Pc | 6204808488 | 4 |
Entity Name | Lake Oswego Dermatology Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710167689 PECOS PAC ID: 6204808488 Enrollment ID: O20040809000774 |
Mailing Address | Practice Location Address |
---|---|
Betty Si Yuan Jiang, 17704 Jean Way Ste 102, Lake Oswego, OR 97035-5585 Ph: (503) 635-9221 | Betty Si Yuan Jiang, 17704 Jean Way Ste 102, Lake Oswego, OR 97035-5585 Ph: (503) 635-9221 |
Dr. John A Kazmierowski, MD Dermatology Medicare: Medicare Enrolled Practice Location: 18405 Deer Oak Ave, Lake Oswego, OR 97035 Phone: 503-799-8086 | |
Dr. Larry Len Peterson, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 16877 65th Ave, Lake Oswego, OR 97035 Phone: 503-620-3376 Fax: 503-684-8554 | |
Margaret A Hewitt, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4035 Sw Mercantile Dr, #210, Lake Oswego, OR 97035 Phone: 503-636-6114 Fax: 503-636-4896 | |
Andrew E Pitt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 17704 Jean Way, Suite 102, Lake Oswego, OR 97035 Phone: 503-635-9221 | |
John Scopetta, MD Dermatology Medicare: Medicare Enrolled Practice Location: 123 C Ave, Lake Oswego, OR 97034 Phone: 859-684-1196 | |
Dr. Barry Michael Austin, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 17704 Jean Way, Suite 102, Lake Oswego, OR 97035 Phone: 503-635-9221 Fax: 503-635-5902 |