John Scopetta, MD | |
123 C Ave, Lake Oswego, OR 97034-2353 | |
(859) 684-1196 | |
Not Available |
Full Name | John Scopetta |
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Gender | Male |
Speciality | Dermatology |
Location | 123 C Ave, Lake Oswego, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417181819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0900X | Dermatology - Dermatopathology | 198045 (Oregon) | Secondary |
207N00000X | Dermatology | 198045 (Oregon) | Primary |
Entity Name | Silver Falls Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134375421 PECOS PAC ID: 5890863492 Enrollment ID: O20081009000466 |
Entity Name | Clear Choice Dermatology |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891327185 PECOS PAC ID: 4789005034 Enrollment ID: O20200522001411 |
Mailing Address | Practice Location Address |
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John Scopetta, MD 123 C Ave, Lake Oswego, OR 97034-2353 Ph: (859) 684-1196 | John Scopetta, MD 123 C Ave, Lake Oswego, OR 97034-2353 Ph: (859) 684-1196 |
Dr. John A Kazmierowski, MD Dermatology Medicare: Medicare Enrolled Practice Location: 18405 Deer Oak Ave, Lake Oswego, OR 97035 Phone: 503-799-8086 | |
Dr. Larry Len Peterson, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 16877 65th Ave, Lake Oswego, OR 97035 Phone: 503-620-3376 Fax: 503-684-8554 | |
Margaret A Hewitt, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4035 Sw Mercantile Dr, #210, Lake Oswego, OR 97035 Phone: 503-636-6114 Fax: 503-636-4896 | |
Betty Si Yuan Jiang, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 17704 Jean Way Ste 102, Lake Oswego, OR 97035 Phone: 503-635-9221 | |
Andrew E Pitt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 17704 Jean Way, Suite 102, Lake Oswego, OR 97035 Phone: 503-635-9221 | |
Dr. Barry Michael Austin, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 17704 Jean Way, Suite 102, Lake Oswego, OR 97035 Phone: 503-635-9221 Fax: 503-635-5902 |