Justin Wayne Holt, MD | |
3181 Sw Sam Jackson Park Rd, Oregon Health & Science University, Portland, OR 97239-3011 | |
(503) 494-8211 | |
Not Available |
Full Name | Justin Wayne Holt |
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Gender | Male |
Speciality | Otolaryngology |
Experience | 10 Years |
Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902225709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Y00000X | Otolaryngology | PG188710 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mid-columbia Medical Center | The dalles, OR | Hospital |
Providence Hood River Memorial Hospital | Hood river, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mid-columbia Medical Center | 3779487251 | 98 |
Entity Name | Mid-columbia Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053409599 PECOS PAC ID: 3779487251 Enrollment ID: O20031209000244 |
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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Justin Wayne Holt, MD 222 Sw Harrison St Apt 8b, Portland, OR 97201-5365 Ph: (501) 362-4438 | Justin Wayne Holt, MD 3181 Sw Sam Jackson Park Rd, Oregon Health & Science University, Portland, OR 97239-3011 Ph: (503) 494-8211 |
David Wei Kuo Lin, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3600 N Interstate Ave, Interstate Medical Office Central, Portland, OR 97227 Phone: 503-331-6085 | |
Zipei Feng, MD, PHD Otolaryngology Medicare: Medicare Enrolled Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110 | |
Mr. Michael Lee Mcdonald, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 10101 Se Main St, # 2004, Portland, OR 97216 Phone: 503-257-3204 Fax: 503-255-7208 | |
Dr. Duane Allen Lundeberg, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2222 Nw Lovejoy St, Suite #622, Portland, OR 97210 Phone: 503-229-8455 Fax: 503-229-7028 | |
Brian Jacob Stater, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110 | |
Dr. Edsel Uisuk Kim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110 | |
James Isaac Cohen, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Ohsu Pv-01, Portland, OR 97239 Phone: 503-494-5355 Fax: 503-494-4631 |