James Walston, | |
2211 Ne 139th St, Vancouver, WA 98686-2742 | |
(503) 413-8407 | |
Not Available |
Full Name | James Walston |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2211 Ne 139th St, Vancouver, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497117675 | NPI | - | NPPES |
65708 | Other | MN | MINNESOTA BOARD OF MEDICAL PRACTICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 65708 (Minnesota) | Secondary |
208000000X | Pediatrics | MD213522 (Oregon) | Primary |
Entity Name | Legacy Emanuel Hospital & Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
Mailing Address | Practice Location Address |
---|---|
James Walston, 1640 9th Ave Se, Rochester, MN 55904-5478 Ph: (612) 210-0829 | James Walston, 2211 Ne 139th St, Vancouver, WA 98686-2742 Ph: (503) 413-8407 |
Aidan H Derenne, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664 Phone: 360-892-1635 Fax: 360-892-3146 | |
Charles E Fuchs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664 Phone: 360-892-1635 Fax: 360-892-3146 | |
Laurie Metzger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-397-1500 Fax: 360-397-1328 | |
Jing Jing Wang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-882-2778 Fax: 360-604-1758 | |
Veronica S Erhart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6100 Ne Fourth Plain Blvd, Vancouver, WA 98661 Phone: 360-891-7300 | |
Katherine Elizabeth Holland, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Suite 120, Vancouver, WA 98664 Phone: 360-892-1635 Fax: 360-892-3146 | |
Jennifer L Soden, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664 Phone: 360-892-1635 Fax: 360-892-3146 |