Dr Virginia Sohn Kelly, MD | |
12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 | |
(503) 216-8820 | |
Not Available |
Full Name | Dr Virginia Sohn Kelly |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 12345 Sw Horizon Blvd Ste 57, Beaverton, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1043324270 | NPI | - | NPPES |
036082185 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
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207V00000X | Obstetrics & Gynecology | 036082185 (Illinois) | Secondary |
207V00000X | Obstetrics & Gynecology | MD190811 (Oregon) | Primary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
Mailing Address | Practice Location Address |
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Dr Virginia Sohn Kelly, MD Po Box 3158, Portland, OR 97208-3158 Ph: () - | Dr Virginia Sohn Kelly, MD 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 Ph: (503) 216-8820 |
Sandra Meacham Reed, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-643-7565 | |
Martin L Schwartz, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-643-7565 | |
Amy R Bruner, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1975 Nw 167th Pl Ste 100, Beaverton, OR 97006 Phone: 503-804-3861 Fax: 503-662-6541 | |
Nancy Ann Jauch, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-643-7565 | |
Kevin Scott Overbeck, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-643-7565 | |
Dr. Heather S Abe, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007 Phone: 503-216-8820 |