Dr Brian Timothy O'hollaren, MD | |
2090 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7687 | |
(541) 382-6447 | |
(541) 330-7413 |
Full Name | Dr Brian Timothy O'hollaren |
---|---|
Gender | Male |
Speciality | Urology |
Location | 2090 Ne Wyatt Ct, Bend, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629030523 | NPI | - | NPPES |
095547 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD15929 (Oregon) | Primary |
Entity Name | Bend Memorial Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699827477 PECOS PAC ID: 7214936533 Enrollment ID: O20061215000022 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Timothy O'hollaren, MD 2090 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7687 Ph: (541) 382-6447 | Dr Brian Timothy O'hollaren, MD 2090 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7687 Ph: (541) 382-6447 |
Dr. Matt S Ashley, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2090 Ne Wyatt Ct Ste 101, Bend, OR 97701 Phone: 541-382-6447 Fax: 541-330-7413 | |
Dr. Daniel Levi Willis, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2090 Ne Wyatt Ct Ste 101, Bend, OR 97701 Phone: 541-382-6447 | |
Andrew David Neeb, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 431 Ne Revere Ave Ste 200, Bend, OR 97701 Phone: 541-508-7973 Fax: 541-508-7968 | |
Hagop Sarkissian, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2090 Ne Wyatt Ct Ste 101, Bend, OR 97701 Phone: 541-382-6447 | |
Dr. Meredith Rae Baker, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2090 Ne Wyatt Ct, Suite 101, Bend, OR 97701 Phone: 541-382-6447 Fax: 541-330-7413 | |
Dr. Michel Adeodat Boileau, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2090 Ne Wyatt Ct, Suite 101, Bend, OR 97701 Phone: 541-382-6447 Fax: 541-330-7413 | |
Dr. Jack Alan Brewer, MD Urology Medicare: Medicare Enrolled Practice Location: 2090 Ne Wyatt Ct, Suite 101, Bend, OR 97701 Phone: 541-382-6447 Fax: 541-330-7413 |