Dr Louis Shelby Casso-gomez, MD | |
430 Sw 13th Ave Apt 1617, Portland, OR 97205-2371 | |
(210) 392-3377 | |
Not Available |
Full Name | Dr Louis Shelby Casso-gomez |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 13 Years |
Location | 430 Sw 13th Ave Apt 1617, Portland, 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 |
---|---|---|---|
1033433313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 60238536 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Salmon Creek Hospital | 0446295711 | 236 |
Entity Name | Legacy Salmon Creek Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356357784 PECOS PAC ID: 0446295711 Enrollment ID: O20051223000194 |
Mailing Address | Practice Location Address |
---|---|
Dr Louis Shelby Casso-gomez, MD 430 Sw 13th Ave Apt 1617, Portland, OR 97205-2371 Ph: (210) 392-3377 | Dr Louis Shelby Casso-gomez, MD 430 Sw 13th Ave Apt 1617, Portland, OR 97205-2371 Ph: (210) 392-3377 |
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