Douglas William Grissom, MD | |
1151 May St, Suite 201, Hood River, OR 97031-1526 | |
(541) 387-1300 | |
(541) 386-6224 |
Full Name | Douglas William Grissom |
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Gender | Male |
Speciality | Family Medicine |
Location | 1151 May St, Hood River, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932326493 | NPI | - | NPPES |
500690452 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9966 (North Dakota) | Secondary |
207Q00000X | Family Medicine | MD153379 (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 |
Mailing Address | Practice Location Address |
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Douglas William Grissom, MD Po Box 3390, Portland, OR 97208-3390 Ph: () - | Douglas William Grissom, MD 1151 May St, Suite 201, Hood River, OR 97031-1526 Ph: (541) 387-1300 |
Kathleen Mckenna, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 849 Pacific Ave, Hood River, OR 97031 Phone: 541-386-6380 | |
Richard P Starrett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1021 June St, Suite 103, Hood River, OR 97031 Phone: 541-386-0007 Fax: 541-386-2675 | |
Dr. Ryan M. Kealy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 810 12th St, Hood River, OR 97031 Phone: 541-399-7552 | |
Michael R Harris, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1151 May St, Suite 201, Hood River, OR 97031 Phone: 541-387-1300 Fax: 541-386-6224 | |
Dr. Stephen Gerard Becker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1750 12th St, Hood River, OR 97031 Phone: 541-386-5070 Fax: 541-386-7190 | |
Elizabeth Marie Foster, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1750 12th St, Hood River, OR 97031 Phone: 541-386-5070 Fax: 541-386-7190 | |
Dr. Anil Rajani, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1327 Columbia St, Hood River, OR 97031 Phone: 541-980-5682 |