Christopher Scott Vantilburg, MD | |
3400 Main St, Vancouver, WA 98663-2223 | |
(360) 514-7005 | |
(360) 514-7075 |
Full Name | Christopher Scott Vantilburg |
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Gender | Male |
Speciality | Family Medicine |
Location | 3400 Main St, Vancouver, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679591218 | NPI | - | NPPES |
8233355 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00036308 (Washington) | Secondary |
207Q00000X | Family Medicine | MD20269 (Oregon) | Primary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053862714 PECOS PAC ID: 7315856010 Enrollment ID: O20040304001330 |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1255429338 PECOS PAC ID: 7315856010 Enrollment ID: O20061104000324 |
Mailing Address | Practice Location Address |
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Christopher Scott Vantilburg, MD Po Box 1556, Hood River, OR 97031-0556 Ph: (541) 490-2983 | Christopher Scott Vantilburg, MD 3400 Main St, Vancouver, WA 98663-2223 Ph: (360) 514-7005 |
Andrea Vallejo Carnie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7410 Delaware Ln Uppr Level, Vancouver, WA 98664 Phone: 360-566-4402 | |
David Malekooti, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2101 Ne 139th St Ste 450, Vancouver, WA 98686 Phone: 360-487-4848 | |
Mrs. Sherilyn Marie Foltz Cook, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 16500 Se 15th St, Ste 100, Vancouver, WA 98683 Phone: 360-254-4402 Fax: 360-892-9241 | |
Dr. Matthew Howard Rose, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 N Devine Rd, Vancouver, WA 98661 Phone: 360-952-4457 Fax: 360-828-7409 | |
Dr. Michele Lynn Sequeira, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12607 Se Mill Plain Blvd, Vancouver, WA 98684 Phone: 360-891-6208 Fax: 360-418-6006 | |
Dr. Kevin Deweber, MD, FAMSSM, FAAFP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E. 33rd Street, Family Medicine Of Sw Washington, Vancouver, WA 98663 Phone: 360-514-7550 Fax: 360-514-7494 | |
Dr. David Paik, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E 33rd St, Suite 100, Vancouver, WA 98663 Phone: 360-514-7550 Fax: 360-514-7553 |