Dr John Stephen Domreis, MD | |
1510 Division St Ste 210, Oregon City, OR 97045-1599 | |
(503) 723-6525 | |
Not Available |
Full Name | Dr John Stephen Domreis |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 29 Years |
Location | 1510 Division St Ste 210, Oregon City, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629168646 | NPI | - | NPPES |
227359 | Medicaid | OR | |
858363001 | Other | OR | REGENCE BC/BS OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD24678 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
Providence Willamette Falls Medical Center | Oregon city, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366536963 PECOS PAC ID: 6103728753 Enrollment ID: O20040123000371 |
Entity Name | Portland Surgical Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609914605 PECOS PAC ID: 8628099983 Enrollment ID: O20051214000421 |
Entity Name | Providence Health & Services - Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912282369 PECOS PAC ID: 5294901922 Enrollment ID: O20120319000430 |
Mailing Address | Practice Location Address |
---|---|
Dr John Stephen Domreis, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Dr John Stephen Domreis, MD 1510 Division St Ste 210, Oregon City, OR 97045-1599 Ph: (503) 723-6525 |
Tyler Scott Mittelstaedt, MD-MPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 Division St Ste 210, Oregon City, OR 97045 Phone: 503-723-6525 | |
Mr. John Joseph Antolik, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 728 Molalla Ave, #c, Oregon City, OR 97045 Phone: 503-557-1233 Fax: 503-557-1310 | |
Shawn M Morgan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 Division St Ste 210, Oregon City, OR 97045 Phone: 503-723-6525 Fax: 503-723-6508 | |
Eleazar D Lawson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 Division St Ste 210, Oregon City, OR 97045 Phone: 503-723-6525 | |
Melissa Lin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 Division St Ste 210, Oregon City, OR 97045 Phone: 503-723-6525 | |
Dr. Kevin Raymond Johnson I, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1510 Division St, Ste 210, Oregon City, OR 97045 Phone: 503-723-6525 Fax: 503-723-6508 |