Dr Nathan Thomas Van Dyk, MD | |
3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | |
(503) 418-7551 | |
(503) 494-4997 |
Full Name | Dr Nathan Thomas Van Dyk |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891952057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 125-050631 (Illinois) | Secondary |
207P00000X | Emergency Medicine | MD198821 (Oregon) | Primary |
Entity Name | Northbay Healthcare Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
Entity Name | Emergency Physicians Associates Overhead Operating Account Dennis Belo |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013969153 PECOS PAC ID: 0547230708 Enrollment ID: O20040727000859 |
Entity Name | Solano Gateway Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952344293 PECOS PAC ID: 5496725418 Enrollment ID: O20040916001355 |
Entity Name | Emergency Physicians Associates Fremont Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790250967 PECOS PAC ID: 8527303585 Enrollment ID: O20181219000821 |
Mailing Address | Practice Location Address |
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Dr Nathan Thomas Van Dyk, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 418-7551 | Dr Nathan Thomas Van Dyk, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 418-7551 |
Kimberly Lauren Imbesi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211 Fax: 503-346-8021 | |
Dr. Hani Darwich, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004 | |
Dr. Robert Thomas Martin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-297-6334 Fax: 503-297-2360 | |
Dr. Jessica Slim, M.D., M.P.H. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7551 Fax: 503-494-4997 | |
Robert Barriatua, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004 | |
Carolyn N Rhett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Nw 22nd Ave, Portland, OR 97210 Phone: 503-413-7260 | |
Dr. Ross Emery Bryan Iv, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Ohsu Dept Of Emergency Medicine Cdw-em, Portland, OR 97239 Phone: 503-494-1270 |