Dr Jonathan James Ebbing, MD | |
1230 7th Ave, Kaiser Permanente Longview-kelso Medical Office, Longview, WA 98632-3198 | |
(360) 636-6235 | |
(360) 575-4805 |
Full Name | Dr Jonathan James Ebbing |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1230 7th Ave, Longview, Washington |
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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1952416380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD00046327 (Washington) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD26739 (Oregon) | Secondary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
Mailing Address | Practice Location Address |
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Dr Jonathan James Ebbing, MD 1230 7th Ave, Kaiser Permanente Longview-kelso Medical Office, Longview, WA 98632-3198 Ph: (360) 636-6235 | Dr Jonathan James Ebbing, MD 1230 7th Ave, Kaiser Permanente Longview-kelso Medical Office, Longview, WA 98632-3198 Ph: (360) 636-6235 |
Baljinder Singh, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Lawrence H. Neville, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4814 Fax: 360-414-7965 | |
Clifford J Schostal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4814 Fax: 360-414-7965 | |
Robert C Axelrod, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-414-2236 Fax: 360-414-2788 | |
Dr. Yehonatan Shilo, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-414-2236 Fax: 360-414-2024 | |
Tsz-ming Chow, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Dr. Marc Anthony Bouchard, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4836 Fax: 360-636-6792 |