Lisa A Huddleston, MD | |
727 S Wahanna Road, Seaside, OR 97138-7735 | |
(503) 717-7556 | |
(503) 717-7476 |
Full Name | Lisa A Huddleston |
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Gender | Female |
Speciality | Family Medicine |
Location | 727 S Wahanna Road, Seaside, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346348935 | NPI | - | NPPES |
128335 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD18816 (Oregon) | Primary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
Mailing Address | Practice Location Address |
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Lisa A Huddleston, MD Po Box 3397, Portland, OR 97208-3397 Ph: () - | Lisa A Huddleston, MD 727 S Wahanna Road, Seaside, OR 97138-7735 Ph: (503) 717-7556 |
Dr. James V. Sisk, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 725 S Wahanna Rd, Seaside, OR 97138 Phone: 503-717-7247 | |
Erik William Nevatt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 N Roosevelt Dr Ste 210, Seaside, OR 97138 Phone: 503-738-3002 Fax: 503-738-3005 | |
Dominique Greco, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 S. Wahanna Rd, Seaside, OR 97138 Phone: 503-717-7556 Fax: 503-717-7476 | |
Rebecca C Rueppel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 727 S Wahanna Rd, Seaside, OR 97138 Phone: 503-717-7060 | |
Christopher R Smart, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 S Wahanna Rd, Seaside, OR 97138 Phone: 503-717-7000 | |
Hugh C. Stelson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 727 S. Wahanna Road, Seaside, OR 97138 Phone: 503-717-7556 Fax: 503-717-7476 |