Dr Ronald Im, MD | |
2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | |
(971) 310-3722 | |
(971) 310-3701 |
Full Name | Dr Ronald Im |
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Gender | Male |
Speciality | Urology |
Location | 2875 Nw Stucki Ave, Hillsboro, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891841334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD60170081 (Washington) | Secondary |
208800000X | Urology | MD152450 (Oregon) | Primary |
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: O20040130000799 |
Mailing Address | Practice Location Address |
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Dr Ronald Im, MD 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 Ph: (971) 310-3722 | Dr Ronald Im, MD 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 Ph: (971) 310-3722 |
Ella Doerge Unger, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2875 Ne Stucki Ave, Hillsboro, OR 97124 Phone: 971-219-3912 | |
Dr. Sean Joseph Clark, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2875 Ne Stucki Ave, Hillsboro, OR 97124 Phone: 971-278-0688 | |
Edith Alfredda Kahrhoff, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2875 Nw Stucki Avenue, Northwest Permanente Pc-westside Medical Specialities, Hillsboro, OR 97124 Phone: 971-310-3708 | |
Dr. Gregory Scott Rosenblatt, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 333 Se 7th Ave, Suite 4500, Hillsboro, OR 97123 Phone: 503-648-6611 |