Luis Russell Vela, DO | |
3620 Nw Samaritan Dr Ste 201, Corvallis, OR 97330-3785 | |
(541) 768-6300 | |
Not Available |
Full Name | Luis Russell Vela |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 3620 Nw Samaritan Dr Ste 201, Corvallis, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891773685 | NPI | - | NPPES |
150331 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | D020838 (Oregon) | Primary |
Entity Name | Mission Health Community Multispecialty Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457719130 PECOS PAC ID: 9537468574 Enrollment ID: O20160426001883 |
Mailing Address | Practice Location Address |
---|---|
Luis Russell Vela, DO Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Luis Russell Vela, DO 3620 Nw Samaritan Dr Ste 201, Corvallis, OR 97330-3785 Ph: (541) 768-6300 |
Dr. Alexandra Makenzie, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4906 | |
Cay Michael Mierisch, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3620 Nw Samaritan Dr Ste 201, Corvallis, OR 97330 Phone: 541-768-6300 | |
Dr. Andrew D Nelson, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4906 | |
Dr. Leon H Malkin, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3620 Nw Samaritan Dr, Ste 201, Corvallis, OR 97330 Phone: 541-768-6300 Fax: 541-768-6301 | |
Peter C Tsai, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2773 Nw 9th St, Corvallis, OR 97330 Phone: 541-207-0910 Fax: 541-738-2596 | |
Dr. J Noonan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3615 Nw Samaritan Dr Ste 210, Corvallis, OR 97330 Phone: 541-768-4501 | |
Dr. Jeremy Don Brown, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4906 |