| Dr Marisa Jane Wickerath, MD | |
|
1825 Maple St, Forest Grove, OR 97116-1939 | |
| (503) 357-2136 | |
| Not Available |
| Full Name | Dr Marisa Jane Wickerath |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1825 Maple St, Forest Grove, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962088641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD221260 (Oregon) | Primary |
| 207P00000X | Emergency Medicine | MD61556041 (Washington) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marisa Jane Wickerath, MD 1400 Sw 5th Ave Ste 500, Portland, OR 97201-5537 Ph: () - | Dr Marisa Jane Wickerath, MD 1825 Maple St, Forest Grove, OR 97116-1939 Ph: (503) 357-2136 |
Dr. Timothy J. Gray Sr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 Mountain View Ln, Suite 200, Forest Grove, OR 97116 Phone: 503-359-4773 Fax: 503-359-3809 | |
Sheridan Thiringer, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-357-2136 | |
Marilyn J Booth, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3305 19th Ave, Forest Grove, OR 97116 Phone: 503-357-7194 Fax: 503-357-5735 | |
Emaan Khan, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-357-2136 | |
Khanh-uyen Tina Huu Nguyen, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-359-6180 Fax: 503-359-6105 | |
Dr. Benjamin Robert Burton, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 Mountain View Ln Ste 200, Forest Grove, OR 97116 Phone: 503-359-4773 | |
Dr. Sean Lincoln Steward, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3838 Pacific Ave, Forest Grove, OR 97116 Phone: 503-992-0288 |