Dr Grace X Tan, MD | |
1200 Hilyard St Ste 620, Eugene, OR 97401-8157 | |
(458) 205-6500 | |
(458) 205-6453 |
Full Name | Dr Grace X Tan |
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Gender | Female |
Speciality | Otolaryngology - Pediatric Otolaryngology |
Location | 1200 Hilyard St Ste 620, Eugene, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1619389020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YP0228X | Otolaryngology - Pediatric Otolaryngology | MD201443 (Oregon) | Primary |
Entity Name | Peacehealth Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
Entity Name | University Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
Mailing Address | Practice Location Address |
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Dr Grace X Tan, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8510 | Dr Grace X Tan, MD 1200 Hilyard St Ste 620, Eugene, OR 97401-8157 Ph: (458) 205-6500 |
Prashant P Vivek, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 330 S Garden Way, Suite 300, Eugene, OR 97401 Phone: 541-334-3370 Fax: 541-334-3372 | |
William David Tom, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 330 S Garden Way, Suite 300, Eugene, OR 97401 Phone: 541-334-3370 Fax: 541-334-3372 | |
Susan L Urben, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 330 S Garden Way, Ste 300, Eugene, OR 97401 Phone: 541-334-3370 Fax: 541-334-3372 | |
Dr. George Wallace Johansen, M.M. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1200 Hilyard St, Suite S-200, Eugene, OR 97401 Phone: 541-685-1755 | |
Nathan P Christensen, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1200 Hilyard St, Suite 620, Eugene, OR 97401 Phone: 458-205-6500 |