Dr Susan Elise Koch, MD | |
9900 Se Sunnyside Rd, Clackamas, OR 97015-9750 | |
(503) 653-6440 | |
(503) 571-8974 |
Full Name | Dr Susan Elise Koch |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 44 Years |
Location | 9900 Se Sunnyside Rd, Clackamas, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912092693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD21378 (Oregon) | Primary |
207N00000X | Dermatology | MD00037941 (Washington) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1484 |
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 |
---|---|
Dr Susan Elise Koch, MD 20200 Se Walgren Rd, Damascus, OR 97089 Ph: (503) 658-7218 | Dr Susan Elise Koch, MD 9900 Se Sunnyside Rd, Clackamas, OR 97015-9750 Ph: (503) 653-6440 |
Jo M Martin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Nw Permanente Pc, Physicians And Surgeons, Clackamas, OR 97015 Phone: 503-571-3332 | |
Peter E Goodkin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9775 Se Sunnyside Road, Suite 500, Clackamas, OR 97015 Phone: 503-654-7546 Fax: 503-786-3542 | |
Matthew G Basco, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9800 Se Sunnyside Rd, Mt Scott Medical Office, Clackamas, OR 97015 Phone: 503-571-8490 | |
Dr. Zachary G Pena, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10151 Se Sunnyside Rd Ste 240, Clackamas, OR 97015 Phone: 503-962-1840 | |
Travis James Widman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3332 | |
Mary Clare Bohnett, MD Dermatology Medicare: Medicare Enrolled Practice Location: 10151 Se Sunnyside Rd Ste 240, Clackamas, OR 97015 Phone: 503-962-1840 | |
Kenneth Myungdei Kang, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-0000 |