Bryan Scott Child, MD | |
890 Oak St Se, Salem, OR 97301-3905 | |
(509) 987-6774 | |
Not Available |
Full Name | Bryan Scott Child |
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Gender | Male |
Speciality | Pediatrics |
Location | 890 Oak St Se, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245472430 | NPI | - | NPPES |
1245472430 | Medicaid | WA | |
025904 | Other | WA | KRMC L&I GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD60279400 (Washington) | Secondary |
208M00000X | Hospitalist | MD60279400 (Washington) | Secondary |
208000000X | Pediatrics | MD184925 (Oregon) | Primary |
Entity Name | Salem Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
Entity Name | Salem Health Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285774257 PECOS PAC ID: 5294094769 Enrollment ID: O20180109003027 |
Mailing Address | Practice Location Address |
---|---|
Bryan Scott Child, MD 22762 Sw 106th Ave, Tualatin, OR 97062-7385 Ph: (509) 987-6774 | Bryan Scott Child, MD 890 Oak St Se, Salem, OR 97301-3905 Ph: (509) 987-6774 |
Suzanne Mcclintick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 891 23rd St Ne, Salem, OR 97301 Phone: 503-364-2181 Fax: 503-364-0364 | |
Dr. Kimberly Ann Heggen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 891 23rd St Ne, Salem, OR 97301 Phone: 503-364-2181 Fax: 503-364-0364 | |
Dr. Paige Frances Tomes, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1233 Edgewater St Nw, Salem, OR 97304 Phone: 503-378-7526 Fax: 503-480-1611 | |
Rachael Hiebert, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2478 13th St Se, Salem, OR 97302 Phone: 503-362-2481 Fax: 503-375-8700 | |
Dr. Michael Adam Marlowe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5125 Skyline Rd S, Salem, OR 97306 Phone: 503-361-5400 | |
Jenny Sue Wing Hoelter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 891 23rd St Ne, Childhood Health Associates Of Salem, Salem, OR 97301 Phone: 503-364-2181 |